Amino acid sequences directed against il-17a, il-17f and/or il-17a/f and polypeptides comprising the same

ABSTRACT

The present disclosure relates to amino acid sequences that are directed against (as defined herein) any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, as well as to compounds or constructs, and in particular proteins and polypeptides, that comprise or essentially consist of one or more such amino acid sequences.

The present invention relates to amino acid sequences that are directed against (as defined herein) any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, as well as to compounds or constructs, and in particular proteins and polypeptides, that comprise or essentially consist of one or more such amino acid sequences (also referred to herein as “amino acid sequences of the invention”, “compounds of the invention”, and “polypeptides of the invention”, respectively).

As further described herein, preferably, the amino acid sequences of the invention are immunoglobulin single variable domains (“ISV's”). An immunoglobulin single variable domain is an amino acid sequence that:

-   -   comprises an immunoglobulin fold or that, under suitable         conditions (such as physiological conditions) is capable of         forming an immunoglobulin fold (i.e. by folding), i.e. so as to         form an immunoglobulin variable domain (such as, for example, a         VH, VL or VHH domain);

and that

-   -   forms (or under such suitable conditions is capable of forming)         an immunoglobulin variable domain that comprises a functional         antigen binding activity (in the sense that it does not require         an interaction with another immunoglobulin variable domain (such         as a VH-VL interaction) to form a functional antigen binding         site).

Amino acid sequences of the invention that are ISV's are also referred to herein as “ISV's of the invention”. Some preferred examples of immunoglobulin single variable domains suitable for use in the invention will become clear from the further description herein, and for example comprise VHH's and/or (other) Nanobodies (preferred), such as humanized VHH's or camelized VH's, such as camelized human VH, dAb's and (single) domain antibodies.

The invention also relates to nucleic acids encoding such amino acid sequences and polypeptides (also referred to herein as “nucleic acids of the invention” or “nucleotide sequences of the invention”); to methods for preparing such amino acid sequences and polypeptides; to host cells expressing or capable of expressing such amino acid sequences or polypeptides; to compositions, and in particular to pharmaceutical compositions, that comprise such amino acid sequences, polypeptides, nucleic acids and/or host cells; and to uses of such amino acid sequences or polypeptides, nucleic acids, host cells and/or compositions, in particular for prophylactic, therapeutic or diagnostic purposes, such as the prophylactic, therapeutic or diagnostic purposes mentioned herein.

Other aspects, embodiments, advantages and applications of the invention will become clear from the further description herein. Several documents are cited throughout the text of this specification. Each of the documents cited herein (including all patents, patent applications, scientific publications, manufacturer's specifications, instructions, etc.), whether supra or infra, are hereby incorporated by reference in their entirety. Nothing herein is to be construed as an admission that the invention is not entitled to antedate such disclosure by virtue of prior invention.

Interleukin-17A (IL-17A also referred to as IL-17 in the literature) is a T-cell derived pro-inflammatory molecule that stimulates epithelial, endothelial and fibroblastic cells to produce other inflammatory cytokines and chemokines including IL-6, IL-8, G-CSF, and MCP-1 [see, Yao, Z. et al., J. Immunol., 122 (12): 5483-5486 (1995); Yao, Z. et al., Immunity, 3 (6): 811-821 (1995); Fossiez, F., et al., J. Exp. Med., 183 (6): 2593-2603 (1996); Kennedy, J., et al., J. Interferon Cytokine Res., 16 (8): 611-7 (1996); Cai, X. Y., et al., Immunol. Lett, 62 (1): 51-8 (1998); Jovanovic, D. V., et al., J. Immunol., 160 (7): 3513-21 (1998); Laan, M., et al., J. Immunol., 162 (4): 2347-52 (1999); Linden, A., et al, Eur Respir J, 15 (5): 973-7 (2000); and Aggarwal, S. and Gurney, A. L., J Leukoc Biol, 71 (1): 1-8 (2002)]. IL-17A also synergizes with other cytokines including TNF-α and IL-1β to further induce chemokine expression (Chabaud, M., et al., J. Immunol. 161 (1): 409-14 (1998)). IL-17A exhibits pleitropic biological activities on various types of cells. IL-17A also has the ability to induce ICAM-1 surface expression, proliferation of T cells, and growth and differentiation of CD34+ human progenitors into neutrophils. IL-17A has also been implicated in bone metabolism, and has been suggested to play an important role in pathological conditions characterized by the presence of activated T cells and TNF-α production such as rheumatoid arthritis and loosening of bone implants (Van Bezooijen et al., J. Bone Miner. Res., 14: 1513-1521 [1999]). Activated T cells of synovial tissue derived from rheumatoid arthritis patients were found to secrete higher amounts of IL-17A than those derived from normal individuals or osteoarthritis patients (Chabaud et al., Arthritis Rheum., 42: 963-970 [1999]). It was suggested that this proinflammatory cytokine actively contributes to synovial inflammation in rheumatoid arthritis. Apart from its proinflammatory role, IL-17A seems to contribute to the pathology of rheumatoid arthritis by yet another mechanism. For example, IL-17A has been shown to induce the expression of osteoclast differentiation factor (ODF) mRNA in osteoblasts (Kotake et al., J. Clin. Invest., 103: 1345-1352 [1999]). ODF stimulates differentiation of progenitor cells into osteoclasts, the cells involved in bone resorption. Since the level of IL-17A is significantly increased in synovial fluid of rheumatoid arthritis patients, it appears that IL-17A induced osteoclast formation plays a crucial role in bone resorption in rheumatoid arthritis. IL-17A is also believed to play a key role in certain other autoimmune disorders such as multiple sclerosis (Matusevicius et al., Mult. Scler., 5: 101-104 (1999); Kurasawa, K., et al., Arthritis Rheu 43 (1i): 2455-63 (2000)) and psoriasis (Teunissen, M. B., et al., J Invest Dermatol 1 11 (4): 645-9 (1998); Albanesi, C., et al., J Invest Dermatol 115 (1): 81-7 (2000); and Homey, B., et al., J. Immunol. 164 (12: 6621-32 (2000)).

IL-17A has further been shown, by intracellular signalling, to stimulate Ca2+ influx and a reduction in [cAMP] in human macrophages (Jovanovicetal., J. Immunol., 160: 3513 [1998]). IL-17A induces the activation of NF-KB in fibroblasts, [Yao et al., Immunity, 3: 811 (1995), Jovanovic et al., supra], while it induces the activation of NF-κB and mitogen-activated protein kinases in macrophages (Shalom-Barek et al., J. Biol. Chem., 273: 27467 [1998]). Additionally, IL-17A also shares sequence similarity with mammalian cytokine-like factor 7 that is involved in bone and cartilage growth.

Interleukin 17A is now recognized as the prototype member of an emerging family of cytokines (see review by Gaffen, 2009 Nature Review Immunology 9:556-567). The large scale sequencing of the human and other vertebrate genomes has revealed the presence of additional genes encoding proteins clearly related to IL-17A, thus defining a new family of cytokines. There are at least 6 members of the IL-17 family in humans and mice including IL-17B, IL-17C, IL-17D, IL-17E and IL-17F as well as 6 related receptors IL-17RA, IL-17RB, IL-17RC (also known as IL-17 RL), IL-17RD and IL-17RF (Gaffen ibid.). One such IL-17 member (designated as IL-17F) has been demonstrated to bind to the human IL-17 receptor (IL-17R) (Yao et al., Cytokine, 9 (11): 794-800 (1997)). Initial characterization suggests that, like IL-17A, several of these newly identified molecules have the ability to modulate immune function. The potent inflammatory actions that have been identified for several of these factors and the emerging associations with major human diseases suggest that these proteins may have significant roles in inflammatory processes and may offer opportunities for therapeutic intervention.

The gene encoding human IL-17F is located adjacent to that encoding IL-17A (Hymowitz, S. G., et al., Embo J, 20 (19): 5332-41 (2001)). IL-17A and IL-17F share about 50% amino acid identity whereas the other members of the IL-17 family share a more limited 15-27% amino acid identity, suggesting that IL-17A and IL-17F form a distinct subgroup within the IL-17 family (Starnes et al., J Immunol, 167 (8): 4137-40 (2001); Aggarwal and Gurney J. Leukoc Biol, 71 (1): 1-8 (2002)). IL-17F appears to have similar biological actions as IL-17A, and is able to promote the production of IL-6, IL-8, and G-CSF from a wide variety of cells. Similar to IL-17A, it is able to induce cartilage matrix release and inhibit new cartilage matrix synthesis (see US-2002-0177188-A1 published Nov. 28, 2002). Thus, like IL-17A, IL-17F may potentially contribute to the pathology of inflammatory disorders.

Recently, it has been observed that both IL-17A and IL-17F are induced in T cells by the action of interleukin 23 (IL-23) (Aggarwal et al., J. Biol. Chem., 278 (3): 1910-4 (2003)). The observation that IL-17A and IL-17F share similar chromosomal localization and significant sequence similarity as well as the observation that IL-17A and IL-17F appear to be induced with the same cell population in response to a specific stimuli has lead to the identification of a new human cytokine that is comprised of a covalent (via 2 disulfide bonds) heterodimer of IL-17A and IL-17F (herein designated IL-17A/F), see also WO05/010044, Wright et al., J. Biol. Chem., 282: 13447 (2007); Kawaguchi et al., J. Allergy Clin. Immunol., 114: 1265 (2004); and Kolls, J K et al., Immunity, 21: 467 (2004).

The amino acid sequences, polypeptides and compositions of the present invention can generally be used to modulate, and in particular inhibit and/or prevent, binding of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof to IL-17RA and/or IL-17RC complex, and thus to modulate, and in particular inhibit or prevent, the signalling that is mediated by the binding of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof to IL-17RA and/or IL-17RC complex, to modulate the biological pathways in which the binding of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof to IL-17RA and/or IL-17RC complex is involved, and/or to modulate the biological mechanisms, responses and effects associated with such signalling or these pathways. Although the stochiometry is not definitely determined of the IL-17 receptor complex, it is believed that IL-17A, IL-17F and IL-17A/F signal via dimers and/or trimers of IL-17RA and/or IL-17RC (Gaffen ibid.).

As such, the amino acid sequences, polypeptides and compositions of the present invention can be used for the prevention and treatment (as defined herein) of immune related diseases and disorders (herein referred to as ‘immune related diseases and disorders of the invention’). Generally, the “immune related diseases and disorders of the invention” can be defined as diseases and disorders that can be prevented and/or treated, respectively, by suitably administering to a subject in need thereof (i.e. having the disease or disorder or at least one symptom thereof and/or at risk of attracting or developing the disease or disorder) of either a polypeptide or composition of the invention (and in particular, of a pharmaceutically active amount thereof) and/or of a known active principle active against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or a biological pathway or mechanism in which any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is involved (and in particular, of a pharmaceutically active amount thereof). Examples of such immune related diseases and disorders of the invention will be clear to the skilled person based on the disclosure herein, and for example include the following diseases and disorders: systemic lupus erythematosus, rheumatoid arthritis, osteoarthritis, juvenile chronic arthritis, spondyloarthropathies, systemic sclerosis, idiopathic inflammatory myopathies, Sjögren's syndrome, systemic vasculitis, sarcoidosis, autoimmune hemolytic anemia, autoimmune thrombocytopenia, thyroiditis, diabetes mellitus, immune-mediated renal disease, demyelinating diseases of the central and peripheral nervous systems such as multiple sclerosis, idiopathic demyelinating polyneuropathy or Guillain-Barre syndrome, and chronic inflammatory demyelinating polyneuropathy, hepatobiliary diseases such as infectious, autoimmune chronic active hepatitis, primary biliary cirrhosis, granulomatous hepatitis, and sclerosing cholangitis, inflammatory bowel disease, gluten-sensitive enteropathy, and Whipple's disease, autoimmune or immune-mediated skin diseases including bullous skin diseases, erythema multiforme and contact dermatitis, psoriasis, allergic diseases such as asthma, allergic rhinitis, atopic dermatitis, food hypersensitivity and urticaria, immunologic diseases of the lung such as eosinophilic pneumonia, idiopathic pulmonary fibrosis and hypersensitivity pneumonitis, transplantation associated diseases including graft rejection and graft-versus-host-disease.

In particular, the amino acid sequences, polypeptides and compositions of the present invention can be used for the prevention and treatment of immune related diseases and disorders of the invention which are characterized by excessive and/or unwanted signalling mediated by any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or by the pathway(s) in which any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is involved. Examples of such immune related diseases and disorders of the invention will again be clear to the skilled person based on the disclosure herein.

Thus, without being limited thereto, the amino acid sequences and polypeptides of the invention can for example be used to prevent and/or to treat all diseases and disorders that are currently being prevented or treated with active principles that can modulate any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof-mediated signalling, such as those mentioned in the prior art cited above. It is also envisaged that the polypeptides of the invention can be used to prevent and/or to treat all diseases and disorders for which treatment with such active principles is currently being developed, has been proposed, or will be proposed or developed in future. In addition, it is envisaged that, because of their favourable properties as further described herein, the polypeptides of the present invention may be used for the prevention and treatment of other diseases and disorders than those for which these known active principles are being used or will be proposed or developed; and/or that the polypeptides of the present invention may provide new methods and regimens for treating the diseases and disorders described herein.

Other applications and uses of the amino acid sequences and polypeptides of the invention will become clear to the skilled person from the further disclosure herein.

Generally, it is an object of the invention to provide pharmacologically active agents, as well as compositions comprising the same, that can be used in the diagnosis, prevention and/or treatment of immune related diseases and disorders of the invention and of the further diseases and disorders mentioned herein; and to provide methods for the diagnosis, prevention and/or treatment of such diseases and disorders that involve the administration and/or use of such agents and compositions.

In particular, it is an object of the invention to provide such pharmacologically active agents, compositions and/or methods that have certain advantages compared to the agents, compositions and/or methods that are currently used and/or known in the art. These advantages will become clear from the further description below.

More in particular, it is an object of the invention to provide therapeutic proteins that can be used as pharmacologically active agents, as well as compositions comprising the same, for the diagnosis, prevention and/or treatment of immune related diseases and disorders of the invention and of the further diseases and disorders mentioned herein; and to provide methods for the diagnosis, prevention and/or treatment of such diseases and disorders that involve the administration and/or the use of such therapeutic proteins and compositions.

Accordingly, it is a specific object of the present invention to provide amino acid sequences that are directed against (as defined herein) any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, in particular against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from a warm-blooded animal, more in particular against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from a mammal, and especially against any of human IL-17A, IL-17F and/or IL-17A/F including combinations thereof; and to provide proteins and polypeptides comprising or essentially consisting of at least one such amino acid sequence.

In particular, it is a specific object of the present invention to provide such amino acid sequences and such proteins and/or polypeptides that are suitable for prophylactic, therapeutic and/or diagnostic use in a warm-blooded animal, and in particular in a mammal, and more in particular in a human being.

More in particular, it is a specific object of the present invention to provide such amino acid sequences and such proteins and/or polypeptides that can be used for the prevention, treatment, alleviation and/or diagnosis of one or more diseases, disorders or conditions associated with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof and/or mediated by any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (such as the diseases, disorders and conditions mentioned herein) in a warm-blooded animal, in particular in a mammal, and more in particular in a human being.

It is also a specific object of the invention to provide such amino acid sequences and such proteins and/or polypeptides that can be used in the preparation of pharmaceutical or veterinary compositions for the prevention and/or treatment of one or more diseases, disorders or conditions associated with and/or mediated by any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (such as the diseases, disorders and conditions mentioned herein) in a warm-blooded animal, in particular in a mammal, and more in particular in a human being.

In the invention, generally, these objects are achieved by the use of the amino acid sequences, proteins, polypeptides and compositions that are described herein. As mentioned, the amino acid sequences used in the invention are preferably immunoglobulin single variable domains or “ISV's” as described herein, and the proteins and polypeptides used in the invention are preferably proteins and polypeptides that comprise one or more of such immunoglobulin single variable domains.

In general, the invention provides amino acid sequences (and preferably ISV's) that are directed against (as defined herein) and/or can specifically bind (as defined herein) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; as well as compounds and constructs, and in particular proteins and polypeptides, that comprise at least one such amino acid sequence.

More in particular, the invention provides amino acid sequences (and preferably ISV's) that can bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein; as well as compounds and constructs, and in particular proteins and polypeptides, that comprise at least one such amino acid sequence.

In particular, amino acid sequences and polypeptides of the invention are preferably such that they:

-   -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a dissociation constant (K_(D)) of         10⁻⁵ to 10⁻¹² moles/liter or less, such as 10⁻⁵ to 10⁻¹⁵         moles/liter and preferably 10⁻⁷ to 10⁻¹² moles/liter or less         such as 10⁻⁷ to 10⁻¹⁵ moles/liter and more preferably 10⁻⁸ to         10⁻¹² moles/liter or 10⁻⁸ to 10⁻¹⁵ moles/liter (i.e. with an         association constant (K_(A)) of 10⁵ to 10¹² liter/moles or more         such as 10⁵ to 10¹⁵ liter/moles, and preferably 10⁷ to 10¹²         liter/moles or more such as 10⁷ to 10¹⁵ liter/and more         preferably 10⁸ to 10¹² liter/moles or 10⁸ to 10¹⁵ liter/moles);         and/or such that they:     -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a k_(on)-rate of between 10² M⁻¹s⁻¹ to         about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹,         more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as         between 10⁵ M⁻¹s⁻¹ and 10⁷M⁻¹s⁻¹;         and/or such that they:     -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a k_(off) rate between 1 s⁻¹         (t_(1/2)=0.69 s) and 10⁻⁶ s⁻¹ (providing a near irreversible         complex with a t_(1/2) of multiple days), preferably between         10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶         s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹.

Preferably, a monovalent amino acid sequence of the invention (or a polypeptide that contains only one amino acid sequence of the invention) is preferably such that it will bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity less than 500 nM, preferably less than 200 nM, more preferably less than 10 or 1 nM, such as less than 500 pM.

Some preferred IC50 values for binding of the amino acid sequences or polypeptides of the invention to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof will become clear from the further description and examples herein.

It is noted that as used herein ‘can specifically bind to’ and ‘specifically binds to’ are used synonymously and refer to the ability to specifically bind to the respectively indicated entity.

For binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, an amino acid sequence of the invention will usually contain within its amino acid sequence one or more amino acid residues or one or more stretches of amino acid residues (i.e. with each “stretch” comprising two or amino acid residues that are adjacent to each other or in close proximity to each other, i.e. in the primary or tertiary structure of the amino acid sequence) via which the amino acid sequence of the invention can bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, which amino acid residues or stretches of amino acid residues thus form the “site” for binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (also referred to herein as the “antigen binding site”).

The amino acid sequences provided by the invention are preferably in essentially isolated form (as defined herein), or form part of a protein or polypeptide of the invention (as defined herein), which may comprise or essentially consist of one or more amino acid sequences of the invention and which may optionally further comprise one or more further amino acid sequences (all optionally linked via one or more suitable linkers). For example, and without limitation, the one or more amino acid sequences of the invention may be used as a binding unit in such a protein or polypeptide, which may optionally contain one or more further amino acid sequences that can serve as a binding unit (i.e. against one or more other targets than any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), so as to provide a monovalent, multivalent or multispecific polypeptide of the invention, respectively, all as described herein. Such a protein or polypeptide may also be in essentially isolated form (as defined herein).

The amino acid sequences and polypeptides of the invention as such preferably essentially consist of a single amino acid chain that is not linked via disulphide bridges to any other amino acid sequence or chain (but that may or may not contain one or more intramolecular disulphide bridges. For example, it is known that Nanobodies—as described herein—may sometimes contain a disulphide bridge between CDR3 and CDR1 or FR2). However, it should be noted that one or more amino acid sequences of the invention may be linked to each other and/or to other amino acid sequences (e.g. via disulphide bridges) to provide peptide constructs that may also be useful in the invention (for example Fab′ fragments, F(ab′)₂ fragments, ScFv constructs, “diabodies” and other multispecific constructs. Reference is for example made to the review by Holliger and Hudson, Nat Biotechnol. 2005 September; 23(9):1126-36).

Generally, when an amino acid sequence of the invention (or a compound, construct or polypeptide comprising the same) is intended for administration to a subject (for example for therapeutic and/or diagnostic purposes as described herein), it is preferably either an amino acid sequence that does not occur naturally in said subject; or, when it does occur naturally in said subject, in essentially isolated form (as defined herein).

It will also be clear to the skilled person that for pharmaceutical use, the amino acid sequences of the invention (as well as compounds, constructs and polypeptides comprising the same) are preferably directed against human any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; whereas for veterinary purposes, the amino acid sequences and polypeptides of the invention are preferably directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from the species to be treated, or are at least cross-reactive with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from the species to be treated.

Furthermore, an amino acid sequence of the invention may optionally, and in addition to the at least one binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, contain one or more further binding sites for binding against other antigens, proteins or targets.

In the present description and claims, the following terms are defined as follows:

-   A) 04G01-like sequences: a “04G01-like sequence”, “04G01-like ISV”     or “04G01-like building block” is defined as an ISV (as described     herein) that comprises:     -   a) a CDR1 which comprises or essentially consists of either (i)         the amino acid sequence IHVMG or (ii) an amino acid sequence         that has only 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence IHVMG; and/or     -   b) a CDR2 which comprises or essentially consists of either (i)         the amino acid sequence LIFSGGSADYADSVKG or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence LIFSGGSADYADSVKG; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         LIFSGGSADYADSVKG; and/or     -   c) a CDR3 which comprises or essentially consists of either (i)         the amino acid sequence EIGYYSGGTYYSSEAH or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence EIGYYSGGTYYSSEAH; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         EIGYYSGGTYYSSEAH;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 04G01-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         for instance, such as described in Example 9. Preferably, the         04G01-like ISV has a blocking activity of 0.3 μg/ml         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM and/or the 04G01-like ISV has a blocking activity         of 1.5 μg/ml IL-17A/F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM,         more preferably, less than 200 nM, 150 nM or even less, such as         less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM         or even more preferably of less than 35 nM.

Preferably, in such a 04G01-like sequence, CDR1 and CDR2 are as defined under a) and b), respectively; or CDR1 and CDR3 are as defined under a) and c), respectively; or CDR2 and CDR3 are as defined under b) and c), respectively. More preferably, in such a 04G01-like sequence, CDR1, CDR2 and CDR3 are all as defined under a), b) and c), respectively. Again, in such an 04G01-like sequence, CDR1, CDR2 and CDR3 are preferably such that the 04G01-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 04G01-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or the 04G01-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

For example, in such an 04G01-like sequence: CDR1 may comprise or essentially consist of the amino acid sequence IHVMG (with CDR2 and CDR3 being as defined under b) and c), respectively); and/or CDR2 may comprise or essentially consist of the amino acid sequence LIFSGGSADYADSVKG (with CDR1 and CDR3 being as defined under a) and c), respectively); and/or CDR3 may comprise or essentially consist of the amino acid sequence EIGYYSGGTYYSSEAH (with CDR1 and CDR2 being as defined under a) and b), respectively). Particularly, when an 04G01-like sequence is according to this aspect: CDR1 may comprise or essentially consist of the amino acid sequence IHVMG and CDR2 may comprise or essentially consist of the amino acid sequence LIFSGGSADYADSVKG (with CDR3 being as defined under c) above); and/or CDR1 may comprise or essentially consist of the amino acid sequence IHVMG and CDR3 may comprise or essentially consist of the amino acid sequence EIGYYSGGTYYSSEAH (with CDR2 being as defined under b) above); and/or CDR2 may comprise or essentially consist of the amino acid sequence LIFSGGSADYADSVKG and CDR3 may comprise or essentially consist of the amino acid sequence EIGYYSGGTYYSSEAH (with CDR1 being as defined under a) above). Again, in such 04G01-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 04G01-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 04G01-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or the 04G01-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

In a specifically preferred aspect, a “04G01-like sequence”, “04G01-like ISV” or “04G01-like building block” is an ISV that comprises:

-   -   d) a CDR1 which is either (i) the amino acid sequence IHVMG         or (ii) an amino acid sequence that has only 3, 2 or 1 amino         acid difference(s) (as defined herein) with the amino acid         sequence IHVMG; and/or     -   e) a CDR2 which is either (i) the amino acid sequence         LIFSGGSADYADSVKG or (ii) an amino acid sequence that has at         least 80%, such as at least 85%, for example at least 90% or         more than 95% sequence identity with the amino acid sequence         LIFSGGSADYADSVKG; or (iii) an amino acid sequence that has only         7, 6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence LIFSGGSADYADSVKG; and/or     -   f) a CDR3 which is either (i) the amino acid sequence         EIGYYSGGTYYSSEAH or (ii) an amino acid sequence that has at         least 80%, such as at least 85%, for example at least 90% or         more than 95% sequence identity with the amino acid sequence         EIGYYSGGTYYSSEAH; or (iii) an amino acid sequence that has only         7, 6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence EIGYYSGGTYYSSEAH;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 04G01-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         for instance, such as described in Example 9. Preferably, the         04G01-like ISV has a blocking activity of 0.3 μg/ml         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM and/or the 04G01-like ISV has a blocking activity         of 1.5 μg/ml IL-17A/F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM,         more preferably, less than 200 nM, 150 nM or even less, such as         less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM         or even more preferably of less than 35 nM.

Preferably, in a 04G01-like sequence according to this specifically preferred aspect, CDR1 and CDR2 are as defined under d) and e), respectively; or CDR1 and CDR3 are as defined under d) and f), respectively; or CDR2 and CDR3 are as defined under e) and f), respectively. More preferably, in such a 04G01-like sequence, CDR1, CDR2 and CDR3 are all as defined under d), e) and f), respectively. Again, in such an 04G01-like sequence, CDR1, CDR2 and CDR3 are preferably such that the 04G01-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9.

Preferably, the 04G01-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or the 04G01-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

For example, in a 04G01-like sequence according to this specifically preferred aspect: CDR1 is the amino acid sequence IHVMG (with CDR2 and CDR3 being as defined under e) and f), respectively); and/or CDR2 is the amino acid sequence LIFSGGSADYADSVKG (with CDR1 and CDR3 being as defined under d) and f), respectively); and/or CDR3 is the amino acid sequence EIGYYSGGTYYSSEAH (with CDR1 and CDR2 being as defined under d) and e), respectively). Particularly, when an 04G01-like sequence is according to this aspect: CDR1 is the amino acid sequence IHVMG and CDR2 is the amino acid sequence LIFSGGSADYADSVKG (with CDR3 being as defined under f) above); and/or CDR1 is the amino acid sequence IHVMG and CDR3 is the amino acid sequence EIGYYSGGTYYSSEAH (with CDR2 being as defined under e) above); and/or CDR2 is the amino acid sequence LIFSGGSADYADSVKG and CDR3 is EIGYYSGGTYYSSEAH (with CDR1 being as defined under d) above). Again, in such 04G01-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 04G01-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 04G01-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or the 04G01-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

In a particularly preferred 04G01-like sequence: CDR1 is the amino acid sequence IHVMG, CDR2 is the amino acid sequence LIFSGGSADYADSVKG; and CDR3 is the amino acid sequence EIGYYSGGTYYSSEAH.

In all the 04G01-like sequence described in this paragraph A), the framework sequences may be as further described herein. Preferably, the framework sequences are such that the framework sequences have at least 80%, such as at least 85%, for example at least 90%, such as at least 95% sequence identity with the framework sequences of 04G01 (which, for example, can be determined by determining the overall degree of sequence identity of a given sequence with the sequence of 04G01 while disregarding the CDR's in the calculation). Again, the combination of CDR's and frameworks present in a given sequence are preferably such that the resulting 04G01-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9.

Preferably, the 04G01-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or the 04G01-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

In one specific aspect, a 04G01-like sequence is an ISV that has at least 70%, such at least 80%, for example at least 85%, such as at least 90% or more than 95% sequence identity with SEQ ID NO: 635. For example, in an 04G01-like sequence according to this aspect, the CDR's may be according to the specifically preferred aspect described above, and may in particularly (but without limitation) be IHVMG (CDR1); LIFSGGSADYADSVKG (CDR2); and EIGYYSGGTYYSSEAH (CDR3). Again, preferably, the combination of CDR's and frameworks present in such a 04G01-like ISV are preferably such that the resulting 04G01-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 04G01-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or the 04G01-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

In one particular aspect, any 04G01-like sequence may be a humanized and/or sequence optimized sequence, as further described herein.

-   B) 16A04-like sequences: a “16A04-like sequence”, “16A04-like ISV”     or “16A04-like building block” is defined as an ISV (as described     herein) that comprises:     -   a) a CDR1 which comprises or essentially consists of either (i)         the amino acid sequence SYVVG or (ii) an amino acid sequence         that has only 2 or (preferably) 1 amino acid difference(s) (as         defined herein) with the amino acid sequence SYVVG; and/or     -   b) a CDR2 which comprises or essentially consists of either (i)         the amino acid sequence AISGSGDSIYYAVSEKD or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence AISGSGDSIYYAVSEKD; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         AISGSGDSIYYAVSEKD; and/or     -   c) a CDR3 which comprises or essentially consists of either (i)         the amino acid sequence DQEFGYLRFGRSEY or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence DQEFGYLRFGRSEY; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         DQEFGYLRFGRSEY;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 16A04-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         such as, for instance, described in Example 9. Preferably, the         16A04-like ISV has a blocking activity of 4.5 μg/ml         IL-17F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 300 nM, more preferably, less         than 250 nM or even less, such as less than 200 nM or 180 nM,         175 nM, 160 nM or even more preferably of less than 150 nM         and/or the 16A04-like ISV has a blocking activity of 1.5 μg/ml         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 250 nM, more preferably, less         than 200 nM, 150 nM or even less, such as less than 100 nM or 80         nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably         of less than 50 nM.

Preferably, in such a 16A04-like sequence, CDR1 and CDR2 are as defined under a) and b), respectively; or CDR1 and CDR3 are as defined under a) and c), respectively; or CDR2 and CDR3 are as defined under b) and c), respectively. More preferably, in such a 16A04-like sequence, CDR1, CDR2 and CDR3 are all as defined under a), b) and c), respectively. Again, in such an 16A04-like sequence, CDR1, CDR2 and CDR3 are preferably such that the 16A04-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, such as, for instance, described in Example 9. Preferably, the 16A04-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 300 nM, more preferably, less than 250 nM or even less, such as less than 200 nM or 180 nM, 175 nM, 160 nM or even more preferably of less than 150 nM and/or the 16A04-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably of less than 50 nM.

For example, in such an 16A04-like sequence: CDR1 may comprise or essentially consist of the amino acid sequence SYVVG (with CDR2 and CDR3 being as defined under b) and c), respectively); and/or CDR2 may comprise or essentially consist of the amino acid sequence AISGSGDSIYYAVSEKD (with CDR1 and CDR3 being as defined under a) and c), respectively); and/or CDR3 may comprise or essentially consist of the amino acid sequence DQEFGYLRFGRSEY (with CDR1 and CDR2 being as defined under a) and b), respectively). Particularly, when an 16A04-like sequence is according to this aspect: CDR1 may comprise or essentially consist of the amino acid sequence SYVVG and CDR2 may comprise or essentially consist of the amino acid sequence AISGSGDSIYYAVSEKD (with CDR3 being as defined under c) above); and/or CDR1 may comprise or essentially consist of the amino acid sequence SYVVG and CDR3 may comprise or essentially consist of the amino acid sequence DQEFGYLRFGRSEY (with CDR2 being as defined under b) above); and/or CDR2 may comprise or essentially consist of the amino acid sequence AISGSGDSIYYAVSEKD and CDR3 may comprise or essentially consist of the amino acid sequence DQEFGYLRFGRSEY (with CDR1 being as defined under a) above). Again, in such 16A04-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 16A04-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, such as, for instance, described in Example 9. Preferably, the 16A04-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 300 nM, more preferably, less than 250 nM or even less, such as less than 200 nM or 180 nM, 175 nM, 160 nM or even more preferably of less than 150 nM and/or the 16A04-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably of less than 50 nM.

In a specifically preferred aspect, a “16A04-like sequence”, “16A04-like ISV” or “16A04-like building block” is an ISV that comprises:

-   -   d) a CDR1 which is either (i) the amino acid sequence SYVVG         or (ii) an amino acid sequence that has only 2 or (preferably) 1         amino acid difference(s) (as defined herein) with the amino acid         sequence SYVVG; and/or     -   e) a CDR2 which is either (i) the amino acid sequence         AISGSGDSIYYAVSEKD or (ii) an amino acid sequence that has at         least 80%, such as at least 85%, for example at least 90% or         more than 95% sequence identity with the amino acid sequence         AISGSGDSIYYAVSEKD; or (iii) an amino acid sequence that has only         7, 6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence AISGSGDSIYYAVSEKD; and/or     -   f) a CDR3 which is either (i) the amino acid sequence         DQEFGYLRFGRSEY or (ii) an amino acid sequence that has at least         80%, such as at least 85%, for example at least 90% or more than         95% sequence identity with the amino acid sequence         DQEFGYLRFGRSEY; or (iii) an amino acid sequence that has only 7,         6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined herein)         with the amino acid sequence DQEFGYLRFGRSEY;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 16A04-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         such as, for instance, described in Example 9. Preferably, the         16A04-like ISV has a blocking activity of 4.5 μg/ml         IL-17F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 300 nM, more preferably, less         than 250 nM or even less, such as less than 200 nM or 180 nM,         175 nM, 160 nM or even more preferably of less than 150 nM         and/or the 16A04-like ISV has a blocking activity of 1.5 μg/ml         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 250 nM, more preferably, less         than 200 nM, 150 nM or even less, such as less than 100 nM or 80         nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably         of less than 50 nM. Preferably, in a 16A04-like sequence         according to this specifically preferred aspect. CDR1 and CDR2         are as defined under d) and e), respectively; or CDR1 and CDR3         are as defined under d) and f), respectively; or CDR2 and CDR3         are as defined under e) and f), respectively. More preferably,         in such a 16A04-like sequence, CDR1, CDR2 and CDR3 are all as         defined under d), e) and f), respectively. Again, in such an         16A04-like sequence, CDR1, CDR2 and CDR3 are preferably such         that the 16A04-like ISV has a blocking activity, which can be         determined by any suitable assay known to the person skilled in         the art, such as, for instance, by means of Alphascreen assays         (e.g. such as described herein) or by cell based assays (e.g.         such as described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, such as, for instance,         described in Example 9. Preferably, the 16A04-like ISV has a         blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 300         nM, more preferably, less than 250 nM or even less, such as less         than 200 nM or 180 nM, 175 nM, 160 nM or even more preferably of         less than 150 nM and/or the 16A04-like ISV has a blocking         activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM,         more preferably, less than 200 nM, 150 nM or even less, such as         less than 100 nM or 80 nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM         or even more preferably of less than 50 nM.

For example, in a 16A04-like sequence according to this specifically preferred aspect: CDR1 is the amino acid sequence SYVVG (with CDR2 and CDR3 being as defined under e) and f), respectively); and/or CDR2 is the amino acid sequence AISGSGDSIYYAVSEKD (with CDR1 and CDR3 being as defined under d) and f), respectively); and/or CDR3 is the amino acid sequence DQEFGYLRFGRSEY (with CDR1 and CDR2 being as defined under d) and e), respectively). Particularly, when an 16A04-like sequence is according to this aspect: CDR1 is the amino acid sequence SYVVG and CDR2 is the amino acid sequence AISGSGDSIYYAVSEKD (with CDR3 being as defined under f) above); and/or CDR1 is the amino acid sequence SYVVG and CDR3 is the amino acid sequence DQEFGYLRFGRSEY (with CDR2 being as defined under e) above); and/or CDR2 is the amino acid sequence AISGSGDSIYYAVSEKD and CDR3 is DQEFGYLRFGRSEY (with CDR1 being as defined under d) above). Again, in such 16A04-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 16A04-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, such as, for instance, described in Example 9. Preferably, the 16A04-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 300 nM, more preferably, less than 250 nM or even less, such as less than 200 nM or 180 nM, 175 nM, 160 nM or even more preferably of less than 150 nM and/or the I 6A04-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably of less than 50 nM.

In a particularly preferred 16A04-like sequence: CDR1 is the amino acid sequence SYVVG, CDR2 is the amino acid sequence AISGSGDSIYYAVSEKD; and CDR3 is the amino acid sequence DQEFGYLRFGRSEY.

In all the 16A04-like sequence described in this paragraph B), the framework sequences may be as further described herein. Preferably, the framework sequences are such that the framework sequences have at least 80%, such as at least 85%, for example at least 90%, such as at least 95% sequence identity with the framework sequences of 16A04 (which, for example, can be determined by determining the overall degree of sequence identity of a given sequence with the sequence of 16A04 while disregarding the CDR's in the calculation). Again, the combination of CDR's and frameworks present in a given sequence are preferably such that the resulting 16A04-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, such as, for instance, described in Example 9. Preferably, the 16A04-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 300 nM, more preferably, less than 250 nM or even less, such as less than 200 nM or 180 nM, 175 nM, 160 nM or even more preferably of less than 150 nM and/or the 16A04-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably of less than 50 nM.

In one specific aspect, a 16A04-like sequence is an ISV that has at least 70%, such at least 80%, for example at least 85%, such as at least 90% or more than 95% sequence identity with SEQ ID NO: 648. For example, in an 16A04-like sequence according to this aspect, the CDR's may be according to the specifically preferred aspect described above, and may in particularly (but without limitation) be SYVVG (CDR1); AISGSGDSIYYAVSEKD (CDR2); and DQEFGYLRFGRSEY (CDR3). Again, preferably, the combination of CDR's and frameworks present in such a 16A04-like ISV are preferably such that the resulting 16A04-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, such as, for instance, described in Example 9. Preferably, the 16A04-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 300 nM, more preferably, less than 250 nM or even less, such as less than 200 nM or 180 nM, 175 nM, 160 nM or even more preferably of less than 150 nM and/or the 16A04-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 65 nM, 60 nM, or 55 nM or even more preferably of less than 50 nM.

In one particular aspect, any 16A04-like sequence may be a humanized sequence, as further described herein.

-   C) 13B03-like sequences: a “13B03-like sequence”, “13B03-like ISV”     or “13B03-like building block” is defined as an ISV (as described     herein) that comprises:     -   a) a CDR1 which comprises or essentially consists of either (i)         the amino acid sequence INWFG or (ii) an amino acid sequence         that has only 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence INWFG; and/or     -   b) a CDR2 which comprises or essentially consists of either (i)         the amino acid sequence GIRWSDAYTEYANSVKG or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence GIRWSDAYTEYANSVKG; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or I amino acid         difference(s) (as defined herein) with the amino acid sequence         GIRWSDAYTEYANSVKG; and/or     -   c) a CDR3 which comprises or essentially consists of either (i)         the amino acid sequence

DLSTVRY or (ii) an amino acid sequence that has at least 80%, such as at least 85%, for example at least 90% or more than 95% sequence identity with the amino acid sequence DLSTVRY; or (iii) an amino acid sequence that has only 4, 3, 2 or 1 amino acid difference(s) (as defined herein) with the amino acid sequence DLSTVRY;

in which the framework sequences present in such an ISV are as further described herein, and in which CDR1, CDR2 and CDR3 are preferably such that the 13B03-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13B03-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13B03-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 300 nM, 250 nM or even less, such as less than 200 nM or 175 nM, 160 nM, or 155 nM or even more preferably of less than 150 nM and/or the 13B03-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 30 nM. Preferably, in such a 13B03-like sequence, CDR1 and CDR2 are as defined under a) and b), respectively; or CDR1 and CDR3 are as defined under a) and c), respectively; or CDR2 and CDR3 are as defined under b) and c), respectively. More preferably, in such a 13B03-like sequence, CDR1, CDR2 and CDR3 are all as defined under a), b) and c), respectively. Again, in such an 13B03-like sequence, CDR1, CDR2 and CDR3 are preferably such that the 13B03-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13B03-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13B03-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 300 nM, 250 nM or even less, such as less than 200 nM or 175 nM, 160 nM, or 155 nM or even more preferably of less than 150 nM and/or the 13B03-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 30 nM.

For example, in such an 13B03-like sequence: CDR1 may comprise or essentially consist of the amino acid sequence INWFG (with CDR2 and CDR3 being as defined under b) and c), respectively); and/or CDR2 may comprise or essentially consist of the amino acid sequence GIRWSDAYTEYANSVKG (with CDR1 and CDR3 being as defined under a) and c), respectively); and/or CDR3 may comprise or essentially consist of the amino acid sequence DLSTVRY (with CDR1 and CDR2 being as defined under a) and b), respectively). Particularly, when an 13B03-like sequence is according to this aspect: CDR1 may comprise or essentially consist of the amino acid sequence INWFG and CDR2 may comprise or essentially consist of the amino acid sequence GIRWSDAYTEYANSVKG (with CDR3 being as defined under c) above); and/or CDR1 may comprise or essentially consist of the amino acid sequence INWFG and CDR3 may comprise or essentially consist of the amino acid sequence DLSTVRY (with CDR2 being as defined under b) above); and/or CDR2 may comprise or essentially consist of the amino acid sequence GIRWSDAYTEYANSVKG and CDR3 may comprise or essentially consist of the amino acid sequence DLSTVRY (with CDR1 being as defined under a) above). Again, in such 13B03-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 13B03-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13B03-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13B03-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 300 nM, 250 nM or even less, such as less than 200 nM or 175 nM, 160 nM, or 155 nM or even more preferably of less than 150 nM and/or the 13B03-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 30 nM.

In a specifically preferred aspect, a “13B03-like sequence”, “13B03-like ISV” or “13B03-like building block” is an ISV that comprises:

-   -   d) a CDR1 which is either (i) the amino acid sequence INWFG         or (ii) an amino acid sequence that has only 3, 2 or 1 amino         acid difference(s) (as defined herein) with the amino acid         sequence INWFG; and/or     -   e) a CDR2 which is either (i) the amino acid sequence         GIRWSDAYTEYANSVKG or (ii) an amino acid sequence that has at         least 80%, such as at least 85%, for example at least 90% or         more than 95% sequence identity with the amino acid sequence         GIRWSDAYTEYANSVKG; or (iii) an amino acid sequence that has only         7, 6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence GIRWSDAYTEYANSVKG; and/or     -   f) a CDR3 which is either (i) the amino acid sequence DLSTVRY         or (ii) an amino acid sequence that has at least 80%, such as at         least 85%, for example at least 90% or more than 95% sequence         identity with the amino acid sequence DLSTVRY; or (iii) an amino         acid sequence that has only 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         DLSTVRY;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 13B03-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         for instance, such as described in Example 9. Preferably, the         13B03-like ISV has a blocking activity of 0.3 μg/ml         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, and/or the 13B03-like ISV has a blocking         activity of 4.5 μg/ml IL-17F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM,         more preferably, less than 300 nM, 250 nM or even less, such as         less than 200 nM or 175 nM, 160 nM, or 155 nM or even more         preferably of less than 150 nM and/or the 13B03-like ISV has a         blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production         in human fibrosarcoma HT-1080 cells with an IC50 of less than         200 nM, more preferably, less than 150 nM, 125 nM or even less,         such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM,         or 40 nM or even more preferably of less than 30 nM. Preferably,         in a 13B03-like sequence according to this specifically         preferred aspect, CDR1 and CDR2 are as defined under d) and e),         respectively; or CDR1 and CDR3 are as defined under d) and f),         respectively; or CDR2 and CDR3 are as defined under e) and f),         respectively. More preferably, in such a 13B03-like sequence,         CDR1, CDR2 and CDR3 are all as defined under d), e) and f),         respectively. Again, in such an 13B03-like sequence, CDR1, CDR2         and CDR3 are preferably such that the 13B03-like ISV has a         blocking activity, which can be determined by any suitable assay         known to the person skilled in the art, such as, for instance,         by means of Alphascreen assays (e.g. such as described herein)         or by cell based assays (e.g. such as described herein).         Preferably, the blocking activity is determined by a HT-1080         cell based assay, for instance, such as described in Example 9.         Preferably, the 13B03-like ISV has a blocking activity of 0.3         μg/ml IL-17A-induced IL-6 production in human fibrosarcoma         HT-1080 cells with an IC50 of less than 150 nM, more preferably,         less than 100 nM, 50 nM or even less, such as less than 20 nM or         15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably         of less than 5 nM, and/or the 13B03-like ISV has a blocking         activity of 4.5 μg/ml IL-17F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM,         more preferably, less than 300 nM, 250 nM or even less, such as         less than 200 nM or 175 nM, 160 nM, or 155 nM or even more         preferably of less than 150 nM and/or the 13B03-like ISV has a         blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production         in human fibrosarcoma HT-1080 cells with an IC50 of less than         200 nM, more preferably, less than 150 nM, 125 nM or even less,         such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM,         or 40 nM or even more preferably of less than 30 nM.

For example, in a 13B03-like sequence according to this specifically preferred aspect: CDR1 is the amino acid sequence INWFG (with CDR2 and CDR3 being as defined under e) and f), respectively); and/or CDR2 is the amino acid sequence GIRWSDAYTEYANSVKG (with CDR1 and CDR3 being as defined under d) and f), respectively); and/or CDR3 is the amino acid sequence DLSTVRY (with CDR1 and CDR2 being as defined under d) and e), respectively). Particularly, when an 13B03-like sequence is according to this aspect: CDR1 is the amino acid sequence INWFG and CDR2 is the amino acid sequence GIRWSDAYTEYANSVKG (with CDR3 being as defined under f) above); and/or CDR1 is the amino acid sequence INWFG and CDR3 is the amino acid sequence DLSTVRY (with CDR2 being as defined under e) above); and/or CDR2 is the amino acid sequence GIRWSDAYTEYANSVKG and CDR3 is DLSTVRY (with CDR1 being as defined under d) above). Again, in such 13B03-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 13B03-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13B03-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13B03-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 300 nM, 250 nM or even less, such as less than 200 nM or 175 nM, 160 nM, or 155 nM or even more preferably of less than 150 nM and/or the 13B03-like ISV has a blocking activity of 1.5 g/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 30 nM.

In a particularly preferred 13B03-like sequence: CDR1 is the amino acid sequence INWFG, CDR2 is the amino acid sequence GIRWSDAYTEYANSVKG; and CDR3 is the amino acid sequence DLSTVRY.

In all the 13B03-like sequence described in this paragraph C), the framework sequences may be as further described herein. Preferably, the framework sequences are such that the framework sequences have at least 80%, such as at least 85%, for example at least 90%, such as at least 95% sequence identity with the framework sequences of 13B03 (which, for example, can be determined by determining the overall degree of sequence identity of a given sequence with the sequence of 13B03 while disregarding the CDR's in the calculation). Again, the combination of CDR's and frameworks present in a given sequence are preferably such that the resulting 13B03-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13B03-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13B03-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 300 nM, 250 nM or even less, such as less than 200 nM or 175 nM, 160 nM, or 155 nM or even more preferably of less than 150 nM and/or the 13B03-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 30 nM.

In one specific aspect, a 13B03-like sequence is an ISV that has at least 70%, such at least 80%, for example at least 85%, such as at least 90% or more than 95% sequence identity with SEQ ID NO: 662. For example, in an 13B03-like sequence according to this aspect, the CDR's may be according to the specifically preferred aspect described above, and may in particularly (but without limitation) be INWFG (CDR1); GIRWSDAYTEYANSVKG (CDR2); and DLSTVRY (CDR3). Again, preferably, the combination of CDR's and frameworks present in such a 13B03-like ISV are preferably such that the resulting 13B03-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13B03-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13B03-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 300 nM, 250 nM or even less, such as less than 200 nM or 175 nM, 160 nM, or 155 nM or even more preferably of less than 150 nM and/or the 13B03-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 30 nM.

In one particular aspect, any 13B03-like sequence may be a humanized and/or sequence optimized sequence, as further described herein.

In this context, one further embodiment of the invention concerns also a polypeptide comprising

-   -   (i) a CDR2 having the amino acid sequence GIRWSDAYTEYANSVKG;         and/or     -   (ii) a CDR3 having the amino acid sequence DLSTVRY;         wherein the CDR2 and CDR3 sequences (i) and (ii) may in total         comprise up to four single amino acid deletions, insertions         and/or substitutions; and

wherein the polypeptide specifically binds to IL-17A and/or IL-17F and wherein preferably the polypeptide specifically binds to IL-17A with a Kd of less than 50 pM and to IL-17F with a Kd of less than 5 nM.

Preferably the polypeptide of this embodiment specifically binds to at least one epitope of IL-17A selected from the amino acids L74, Y85 and N88 of IL-17A. Preferably the polypeptide of this embodiment specifically binds to at least three epitopes of IL-17A, e.g. at least to amino acids L74, Y85 and N88 of IL-17A (SEQ ID NO: 839).

Preferred is also a polypeptide comprising

-   -   (iii) a CDR2 having the amino acid sequence GIRWSDAYTEYANSVKG;         and/or     -   (iv) a CDR3 having the amino acid sequence DLSTVRY;         wherein the CDR2 and CDR3 sequences (i) and (ii) may in total         comprise up to four single amino acid deletions, insertions         and/or substitutions; and

wherein the polypeptide specifically binds to IL-17A and/or IL-17F (preferably each with a Kd of less than 5 nM) but not to any of IL-17B, IL-17C, IL-17D and IL-17E. Preferably, this polypeptide specifically binds to at least amino acids L74, Y85 and N88 of IL-17A (SEQ ID NO: 839).Of course also all of the above polypeptides comprising a CDR2 and/or CDR3 sequences can be used and are effective for the treatment of a disease as disclosed herein.

-   D) 13E02-like sequences: a “13E02-like sequence”, “13E02-like ISV”     or “13E02-like building block” is defined as an ISV (as described     herein) that comprises:     -   a) a CDR1 which comprises or essentially consists of either (i)         the amino acid sequence AMG or (ii) an amino acid sequence that         has 1 amino acid difference(s) (as defined herein) with the         amino acid sequence AMG; and/or     -   b) a CDR2 which comprises or essentially consists of either (i)         the amino acid sequence AISGSGDDTYYADSVKG or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence AISGSGDDTYYADSVKG; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         AISGSGDDTYYADSVKG; and/or     -   c) a CDR3 which comprises or essentially consists of either (i)         the amino acid sequence RRGLYYVWDSNDYEN or (ii) an amino acid         sequence that has at least 80%, such as at least 85%, for         example at least 90% or more than 95% sequence identity with the         amino acid sequence RRGLYYVWDSNDYEN; or (iii) an amino acid         sequence that has only 7, 6, 5, 4, 3, 2 or 1 amino acid         difference(s) (as defined herein) with the amino acid sequence         RRGLYYVWDSNDYEN;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 13E02-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         for instance, such as described in Example 9. Preferably, the         13E02-like ISV has a blocking activity of 0.3 μg/ml         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, and/or the 13E02-like ISV has a blocking         activity of 4.5 μg/ml IL-17F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM,         more preferably, less than 250 nM, 200 nM or even less, such as         less than 175 nM or 150 nM, 140 nM, or 125 nM or even more         preferably of less than 110 nM and/or the 13E02-like ISV has a         blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production         in human fibrosarcoma HT-1080 cells with an IC50 of less than         200 nM, more preferably, less than 150 nM, 125 nM or even less,         such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM,         40 nM or 30 nM or even more preferably of less than 25 nM.         Preferably, in such a 13E02-like sequence, CDR1 and CDR2 are as         defined under a) and b), respectively; or CDR1 and CDR3 are as         defined under a) and c), respectively; or CDR2 and CDR3 are as         defined under b) and c), respectively. More preferably, in such         a 13E02-like sequence, CDR1, CDR2 and CDR3 are all as defined         under a), b) and c), respectively. Again, in such an 13E02-like         sequence, CDR1, CDR2 and CDR3 are preferably such that the         13E02-like ISV has a blocking activity, which can be determined         by any suitable assay known to the person skilled in the art,         such as, for instance, by means of Alphascreen assays (e.g. such         as described herein) or by cell based assays (e.g. such as         described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 9. Preferably, the 13E02-like ISV has a         blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 150         nM, more preferably, less than 100 nM, 50 nM or even less, such         as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or         even more preferably of less than 5 nM, and/or the 13E02-like         ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6         production in human fibrosarcoma HT-1080 cells with an IC50 of         less than 350 nM, more preferably, less than 250 nM, 200 nM or         even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM         or even more preferably of less than 110 nM and/or the         13E02-like ISV has a blocking activity of 1.5 μg/ml         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 200 nM, more preferably, less         than 150 nM, 125 nM or even less, such as less than 100 nM or 80         nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more         preferably of less than 25 nM.

For example, in such an 13E02-like sequence: CDR1 may comprise or essentially consist of the amino acid sequence AMG (with CDR2 and CDR3 being as defined under b) and c), respectively); and/or CDR2 may comprise or essentially consist of the amino acid sequence AISGSGDDTYYADSVKG (with CDR1 and CDR3 being as defined under a) and c), respectively); and/or CDR3 may comprise or essentially consist of the amino acid sequence RRGLYYVWDSNDYEN (with CDR1 and CDR2 being as defined under a) and b), respectively). Particularly, when an 13E02-like sequence is according to this aspect: CDR1 may comprise or essentially consist of the amino acid sequence AMG and CDR2 may comprise or essentially consist of the amino acid sequence AISGSGDDTYYADSVKG (with CDR3 being as defined under c) above); and/or CDR1 may comprise or essentially consist of the amino acid sequence AMG and CDR3 may comprise or essentially consist of the amino acid sequence RRGLYYVWDSNDYEN (with CDR2 being as defined under b) above); and/or CDR2 may comprise or essentially consist of the amino acid sequence AISGSGDDTYYADSVKG and CDR3 may comprise or essentially consist of the amino acid sequence RRGLYYVWDSNDYEN (with CDR1 being as defined under a) above). Again, in such 13E02-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 13E02-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13E02-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13E02-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an 1050 of less than 350 nM, more preferably, less than 250 nM, 200 nM or even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM or even more preferably of less than 110 nM and/or the 13E02-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more preferably of less than 25 nM.

In a specifically preferred aspect, a “13E02-like sequence”, “13E02-like ISV” or “13E02-like building block” is an ISV that comprises:

-   -   d) a CDR1 which is either (i) the amino acid sequence AMG         or (ii) an amino acid sequence that has only 3, 2 or 1 amino         acid difference(s) (as defined herein) with the amino acid         sequence AMG; and/or     -   e) a CDR2 which is either (i) the amino acid sequence         AISGSGDDTYYADSVKG or (ii) an amino acid sequence that has at         least 80%, such as at least 85%, for example at least 90% or         more than 95% sequence identity with the amino acid sequence         AISGSGDDTYYADSVKG; or (iii) an amino acid sequence that has only         7, 6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence AISGSGDDTYYADSVKG; and/or     -   f) a CDR3 which is either (i) the amino acid sequence         RRGLYYVWDSNDYEN or (ii) an amino acid sequence that has at least         80%, such as at least 85%, for example at least 90% or more than         95% sequence identity with the amino acid sequence         RRGLYYVWDSNDYEN; or (iii) an amino acid sequence that has only         7, 6, 5, 4, 3, 2 or 1 amino acid difference(s) (as defined         herein) with the amino acid sequence RRGLYYVWDSNDYEN;         in which the framework sequences present in such an ISV are as         further described herein, and in which CDR1, CDR2 and CDR3 are         preferably such that the 13E02-like ISV has a blocking activity,         which can be determined by any suitable assay known to the         person skilled in the art, such as, for instance, by means of         Alphascreen assays (e.g. such as described herein) or by cell         based assays (e.g. such as described herein). Preferably, the         blocking activity is determined by a HT-1080 cell based assay,         for instance, such as described in Example 9. Preferably, the         13E02-like ISV has a blocking activity of 0.3 μg/ml         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, and/or the 13E02-like ISV has a blocking         activity of 4.5 μg/ml IL-17F-induced IL-6 production in human         fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM,         more preferably, less than 250 nM, 200 nM or even less, such as         less than 175 nM or 150 nM, 140 nM, or 125 nM or even more         preferably of less than 110 nM and/or the 13E02-like ISV has a         blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production         in human fibrosarcoma HT-1080 cells with an IC50 of less than         200 nM, more preferably, less than 150 nM, 125 nM or even less,         such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM,         40 nM or 30 nM or even more preferably of less than 25 nM.         Preferably, in a 13E02-like sequence according to this         specifically preferred aspect, CDR1 and CDR2 are as defined         under d) and e), respectively; or CDR1 and CDR3 are as defined         under d) and f), respectively; or CDR2 and CDR3 are as defined         under e) and f), respectively. More preferably, in such a         13E02-like sequence, CDR1, CDR2 and CDR3 are all as defined         under d), e) and f), respectively. Again, in such an 13E02-like         sequence, CDR1, CDR2 and CDR3 are preferably such that the         13E02-like ISV has a blocking activity, which can be determined         by any suitable assay known to the person skilled in the art,         such as, for instance, by means of Alphascreen assays (e.g. such         as described herein) or by cell based assays (e.g. such as         described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 9. Preferably, the 13E02-like ISV has a         blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 150         nM, more preferably, less than 100 nM, 50 nM or even less, such         as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or         even more preferably of less than 5 nM, and/or the 13E02-like         ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6         production in human fibrosarcoma HT-1080 cells with an IC50 of         less than 350 nM, more preferably, less than 250 nM, 200 nM or         even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM         or even more preferably of less than 110 nM and/or the         13E02-like ISV has a blocking activity of 1.5 μg/ml         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 200 nM, more preferably, less         than 150 nM, 125 nM or even less, such as less than 100 nM or 80         nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more         preferably of less than 25 nM.

For example, in a 13E02-like sequence according to this specifically preferred aspect: CDR1 is the amino acid sequence AMG (with CDR2 and CDR3 being as defined under e) and f), respectively); and/or CDR2 is the amino acid sequence AISGSGDDTYYADSVKG (with CDR1 and CDR3 being as defined under d) and f), respectively); and/or CDR3 is the amino acid sequence RRGLYYVWDSNDYEN (with CDR1 and CDR2 being as defined under d) and e), respectively). Particularly, when an 13E02-like sequence is according to this aspect: CDR1 is the amino acid sequence AMG and CDR2 is the amino acid sequence AISGSGDDTYYADSVKG (with CDR3 being as defined under f) above); and/or CDR1 is the amino acid sequence AMG and CDR3 is the amino acid sequence RRGLYYVWDSNDYEN (with CDR2 being as defined under e) above); and/or CDR2 is the amino acid sequence AISGSGDDTYYADSVKG and CDR3 is RRGLYYVWDSNDYEN (with CDR1 being as defined under d) above). Again, in such 13E02-like sequences, CDR1, CDR2 and CDR3 are preferably such that the 13E02-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13E02-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13E02-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 250 nM, 200 nM or even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM or even more preferably of less than 110 nM and/or the 13E02-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more preferably of less than 25 nM.

In a particularly preferred 13E02-like sequence: CDR1 is the amino acid sequence AMG, CDR2 is the amino acid sequence AISGSGDDTYYADSVKG; and CDR3 is the amino acid sequence RRGLYYVWDSNDYEN.

In all the 13E02-like sequence described in this paragraph D), the framework sequences may be as further described herein. Preferably, the framework sequences are such that the framework sequences have at least 80%, such as at least 85%, for example at least 90%, such as at least 95% sequence identity with the framework sequences of 13E02 (which, for example, can be determined by determining the overall degree of sequence identity of a given sequence with the sequence of 13E02 while disregarding the CDR's in the calculation). Again, the combination of CDR's and frameworks present in a given sequence are preferably such that the resulting 13E02-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13E02-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13E02-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 250 nM, 200 nM or even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM or even more preferably of less than 110 nM and/or the 13E02-like ISV has a blocking activity of 1.5 g/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more preferably of less than 25 nM.

In one specific aspect, a 13E02-like sequence is an ISV that has at least 70%, such at least 80%, for example at least 85%, such as at least 90% or more than 95% sequence identity with SEQ ID NO: 664. For example, in an 13E02-like sequence according to this aspect, the CDR's may be according to the specifically preferred aspect described above, and may in particularly (but without limitation) be AMG (CDR1); AISGSGDDTYYADSVKG (CDR2); and RRGLYYVWDSNDYEN (CDR3). Again, preferably, the combination of CDR's and frameworks present in such a 13E02-like ISV are preferably such that the resulting 13E02-like ISV has a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9. Preferably, the 13E02-like ISV has a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the 13E02-like ISV has a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 250 nM, 200 nM or even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM or even more preferably of less than 110 nM and/or the 13E02-like ISV has a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more preferably of less than 25 nM.

In one particular aspect, any 13E02-like sequence may be a humanized and/or sequence optimized sequence, as further described herein.

In this context, one further embodiment of the invention concerns also a polypeptide comprising

-   -   (i) a CDR2 having the amino acid sequence AISGSGDDTYYADSVKG;         and/or     -   (ii) a CDR3 having the amino acid sequence RRGLYYVWDANDYEN;         wherein the CDR2 and CDR3 sequences (i) and (ii) may in total         comprise up to four single amino acid deletions, insertions         and/or substitutions; and

wherein the polypeptide specifically binds to IL-17A and/or IL-17F and wherein preferably the polypeptide specifically binds to IL-17A with a Kd of less than 50 pM and to IL-17F with a Kd of less than 5 nM.

Preferably the polypeptide of this embodiment specifically binds to at least one epitope of IL-17A selected from the amino acids L74, Y85 and N88 of IL-17A. Preferably the polypeptide of this embodiment specifically binds to at least three epitopes of IL-17A, e.g. at least to amino acids L74, Y85 and N88 of IL-17A (SEQ ID NO: 839).

Preferred is also a polypeptide comprising

-   -   (iii) a CDR2 having the amino acid sequence AISGSGDDTYYADSVKG;         and/or     -   (iv) a CDR3 having the amino acid sequence RRGLYYVWDANDYEN;         wherein the CDR2 and CDR3 sequences (i) and (ii) may in total         comprise up to four single amino acid deletions, insertions         and/or substitutions; and

wherein the polypeptide specifically binds to IL-17A and/or IL-17F (preferably each with a Kd of less than 5 nM) but not to any of IL-17B, IL-17C, IL-17D and IL-17E. Preferably, this polypeptide specifically binds to at least amino acids L74, Y85 and N88 of IL-17A (SEQ ID NO: 839).

Of course also all of the above polypeptides comprising a CDR2 and/or CDR3 sequences can be used and are effective for the treatment of a disease as disclosed herein. As mentioned, a polypeptide of the invention preferably specifically binds to at least three epitopes of IL-17A and/or IL-17F, e.g.

-   -   (i) at least to amino acids L74, Y85 and N88 of IL-17A (SEQ ID         NO: 839);     -   (ii) at least to amino acids H54, L74 and Y85 of IL-17A (SEQ ID         NO: 839); and/or     -   (iii) at least to amino acids R47, R73, I86 and N89 of IL-17F         (SEQ ID NO: 840).

As further described herein, but without being limited to any explanation, mechanism of action or hypothesis, in the present invention, four different classes of amino acid sequences of the invention have been identified, based on their ability to inhibit the interaction of IL-17A, IL-17F or IL-17IF with either or both of the receptors IL-17RA or IL-17RC complex (in particular in the Alphascreen assay described in Example 5 below). These four classes of amino acid sequences of the invention are (defined herein as follows):

-   -   “Class 1 amino acid sequence”: an amino acid sequence of the         invention (and in particular an ISV as described herein) that is         capable of inhibiting the interaction of IL-17A with (at least         one of, and most preferably both of) the receptors IL-17RA or         IL-17RC of the receptor complex, but that is essentially not         capable of inhibiting the interaction of IL-17A/F interaction         with either of IL-17RA or IL-17RC. Some specific but         non-limiting examples of Class 1 amino acid sequences are given         in the further description herein (see for example Tables 5-8);     -   “Class 2 amino acid sequence”: an amino acid sequence of the         invention (and in particular an ISV as described herein) that is         capable of inhibiting the interaction of both IL-17A and of         IL-17A/F with (at least one of, and most preferably both of) the         receptors IL-17RA or IL-17RC of the receptor complex. Some         specific but non-limiting examples of Class 2 amino acid         sequences are given in the further description herein (see for         example Tables 5-8). Some preferred, but non-limiting examples         of Class 2 amino acid sequences of the invention are the         “04G01-like sequences” (as defined herein), with humanized         and/or sequence-optimized variants of 04G01 (see for example         Tables 23 and 24) being particularly preferred;     -   “Class 3 amino acid sequence”: an amino acid sequence of the         invention (and in particular an ISV as described herein) that is         capable of inhibiting the interaction of IL-17F with (at least         one of, and most preferably both of) the receptors IL-17RA or         IL-17RC of the receptor complex. Class 3 amino acid sequences of         the invention may also be capable of (at least partially)         inhibiting the interaction of IL-17A/F with (at least one of,         and most preferably both of) the receptors IL-17RA or IL-17RC of         the receptor complex. Some specific but non-limiting examples of         Class 3 amino acid sequences are given in the further         description herein (see for example Tables 5-8). Some preferred,         but non-limiting examples of Class 3 amino acid sequences of the         invention are the “16A04-like sequences” (as defined herein),         with humanized and/or sequence-optimized variants of 16A04 (such         as for example IL17MS3063, see Table 30) being particularly         preferred. In some preferred, but non-limiting examples, Class 3         amino acid sequences are directed against and/or bind to R47,         R73, I86 and/or N89 of hIL-17F, including combinations thereof         (see for example Table 11);     -   “Class 4 amino acid sequence” (also referred to herein as a         “cross-reactive amino acid sequence” and also indicated with an         “X”): an amino acid sequence of the invention (and in particular         an ISV as described herein) that is capable of inhibiting the         interaction of both IL-17A and IL-17F, hence including IL-17A/F,         with (at least one of, and most preferably both of) the         receptors IL-17RA or IL-17RC of the receptor complex. Some         preferred, but non-limiting examples of Class 4 amino acid         sequences of the invention are the “13B03-like sequences” (as         defined herein) and the “13E02-like sequences” (also as defined         herein), with humanized and/or sequence-optimized variants of         13B03 (such as for example IL17MS3068, see e.g. Table 26) and         13E02 (such as for example IL17MS3069 and IL17MS3070, see Table         28), respectively, being particularly preferred. In some         preferred, but non-limiting examples, Class 4 amino acid         sequences are directed against and/or bind to L74, Y85 and/or         N88 of hIL-17A (see for example Table 11).

TABLE A-0 Overview anti-IL-17 blocking specificity of Nanobody classes Nanobody Blocking activity ¹⁾ Class Example IL-17A IL-17F IL-17A/F Class 1 YES Essentially NO NO Class 2 04G01 YES NO YES Class 3 16A04 NO YES Partially YES Class 4 13E02, 13B03 YES YES YES ¹⁾ Blocking activity as determined by IL-17A, IL-17F and IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells as described above

Each of these classes of amino acid sequences of the invention (and in particular, ISV's belonging to each of these classes), form further aspects of the invention. Generally, and although the invention is not limited to the same, (the use as building blocks of) Class 2 amino acid sequences are more preferred than Class 1 amino acid sequences, and (the use as building blocks of) Class 3 and/or Class 4 amino acid sequences are in turn more preferred than Class 2 amino acid sequences.

Preferred but non-limiting examples of ISV's of the invention belonging to each of these Classes are given in the examples herein.

Also, as further described herein, one of the advantages of the invention is that the amino acid sequences of the invention (and in particular, the ISV's of the invention) can be used as building blocks to provide the compounds, constructs, proteins and polypeptides of the invention. In this way, for example and without limitation, the invention also makes it possible to combine amino acid sequences of the invention (and in particular ISV's of the invention) that belong to different Classes into a single compound, construct, protein or polypeptide of the invention. In particular, it was shown that combining Class 3 ISV's with Class 4 ISV's into a single compound, construct, protein or polypeptide of the invention have unique binding properties (cf. Example 29).

As further described herein, such compounds, constructs, proteins or polypeptides of the invention may for example and without limitation comprise or essentially consist of:

-   -   an amino acid sequence of the invention (and in particular, an         ISV of the invention) and one or more (such as one or two) other         groups, residues, moieties or binding units (as further         described herein, for example a group, residue, moiety or         binding unit that increases the half-life of the amino acid         sequence of the invention), which are linked to each other         either directly or preferably via one or more suitable linkers         (as further described herein);     -   two or more (such as two or three) amino acid sequences of the         invention (which may be the same or different), and in         particular two or more (such as two or three) ISV's of the         invention (which again may be the same or different), and         optionally one or more (such as one or two) other groups,         residues, moieties or binding units (as further described         herein, for example a group, residue, moiety or binding unit         that increases the half-life of the amino acid sequence(s) of         the invention), which are linked to each other either directly         or preferably via one or more suitable linkers (as further         described herein).

Also, as further described herein, when a compound, construct, protein or polypeptide of the invention comprises one or more one or more (such as one or two) other groups, residues, moieties or binding units, these are preferably (but without limitation) either (i) one or more other immunoglobulin single variable domains (for example, directed to a target other than IL-17A, IL-17F or IL-17A/F, i.e. so as to provide a multispecific protein or polypeptide of the invention) and/or (ii) a group, residue, moiety or binding unit that increases the half-life of the amino acid sequence(s) of the invention, which may for example be a group, residue, moiety or binding unit that is directed to a serum protein such as (human) serum albumin (for example, an ISV that is directed to a serum protein and in particular to serum albumin, or a peptide that is directed to a serum protein and in particular to serum albumin, as further described herein).

Thus, for example and without limitation, such compounds, constructs, proteins or polypeptides of the invention may comprise or essentially consist of:

-   -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 1 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 2 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 3 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 4 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   Two amino acid sequences of the invention (and in particular,         two ISV's of the invention) both belonging to Class 1 (as         defined herein), and a group, residue, moiety or binding unit         that increases the half-life of said amino acid sequence (and         preferably an ISV that is directed to a serum protein and in         particular to serum albumin, or a peptide that is directed to a         serum protein and in particular to serum albumin), optionally         suitably linked via one or more suitable linkers.     -   Two amino acid sequences of the invention (and in particular,         two ISV's of the invention) both belonging to Class 2 (as         defined herein), and a group, residue, moiety or binding unit         that increases the half-life of said amino acid sequence (and         preferably an ISV that is directed to a serum protein and in         particular to serum albumin, or a peptide that is directed to a         serum protein and in particular to serum albumin), optionally         suitably linked via one or more suitable linkers.     -   Two amino acid sequences of the invention (and in particular,         two ISV's of the invention) both belonging to Class 3 (as         defined herein), and a group, residue, moiety or binding unit         that increases the half-life of said amino acid sequence (and         preferably an ISV that is directed to a serum protein and in         particular to serum albumin, or a peptide that is directed to a         serum protein and in particular to serum albumin), optionally         suitably linked via one or more suitable linkers.     -   Two amino acid sequences of the invention (and in particular,         two ISV's of the invention) both belonging to Class 4 (as         defined herein), and a group, residue, moiety or binding unit         that increases the half-life of said amino acid sequence (and         preferably an ISV that is directed to a serum protein and in         particular to serum albumin, or a peptide that is directed to a         serum protein and in particular to serum albumin), optionally         suitably linked via one or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 1 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 2 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 1 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 3 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 1 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 4 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 2 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 3 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 2 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 4 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.     -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 3 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 4 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers.

Each of the above compounds, constructs, proteins or polypeptides of the invention form further aspects of the invention.

When one of the compounds, constructs, proteins or polypeptides of the invention (such as one of the compounds, constructs, proteins or polypeptides of the invention according to one of the preceding paragraphs) comprises a Class 2 sequence, it is preferably a 04G01-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 04G01. Thus, a further aspect of the invention is a compound, construct, protein or polypeptide of the invention as described herein (and in particular, as described in the preceding paragraphs) that comprises a Class 2 amino acid sequence, wherein said Class 2 amino acid sequence is a 04G01-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 04G01.

When one of the compounds, constructs, proteins or polypeptides of the invention (such as one of the compounds, constructs, proteins or polypeptides of the invention according to one of the preceding paragraphs) comprises a Class 3 sequence, it is preferably a 16A04-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 16A04. Thus, a further aspect of the invention is a compound, construct, protein or polypeptide of the invention as described herein (and in particular, as described in the preceding paragraphs) that comprises a Class 3 amino acid sequence, wherein said Class 3 amino acid sequence is a 16A04-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 16A04.

When one of the compounds, constructs, proteins or polypeptides of the invention (such as one of the compounds, constructs, proteins or polypeptides of the invention according to one of the preceding paragraphs) comprises a Class 4 sequence, it is preferably a 13B03-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 13B03, or a 13E02-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 13E02. Thus, a further aspect of the invention is a compound, construct, protein or polypeptide of the invention as described herein (and in particular, as described in the preceding paragraphs) that comprises a Class 4 amino acid sequence, wherein said Class 4 amino acid sequence is a 13B03-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 13B03, and/or a 13E02-like sequence (as defined herein), and more preferably a humanized and/or sequence-optimized variant of 13E02.

Some preferred, but non-limiting examples of some of these compounds, constructs, proteins or polypeptides of the invention are described in the examples below. Based on the disclosure herein, the skilled person will also be able to provide other such compounds, constructs, proteins or polypeptides of the invention, for example by suitably combining one or more suitable amino acid sequences of the invention (such as those described in the examples below) with a group, residue, moiety or binding unit that increases the half-life of said amino acid sequence (such as an ISV or small peptide that is directed against (human) serum albumin, as further described herein).

Particularly preferred are compounds, constructs, proteins or polypeptides of the invention may comprise or essentially consist of:

-   -   An amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 3 (as defined herein),         an amino acid sequence of the invention (and in particular, an         ISV of the invention) belonging to Class 4 (as defined herein),         and a group, residue, moiety or binding unit that increases the         half-life of said amino acid sequence (and preferably an ISV         that is directed to a serum protein and in particular to serum         albumin, or a peptide that is directed to a serum protein and in         particular to serum albumin), optionally suitably linked via one         or more suitable linkers. As further described herein, such a         compound, construct, protein or polypeptide of the invention         preferably comprises a “13B03-like sequence” (as defined herein,         and more preferably a humanized and/or sequence-optimized         variant of 13B03) or a “13E02-like sequence” (as defined herein,         and more preferably a humanized and/or sequence-optimized         variant of 13E02) as the Class 4 sequence and a “16A04-like         sequence” (as defined herein, and more preferably a humanized         and/or sequence-optimized variant of 16A04) as the Class 3         sequence. Some specifically preferred, but non-limiting examples         of these compounds, constructs, proteins or polypeptides of the         invention are IL17MS3084, IL17MS3085, IL17MS3086 and IL17MS3087         (see Example 26 and Table 33). Other examples of such/similar         compounds, constructs, proteins or polypeptides of the invention         will be clear to the skilled person based on the disclosure         herein.     -   Two amino acid sequences of the invention (and in particular,         two ISV's of the invention) both belonging to Class 4 (as         defined herein), and a group, residue, moiety or binding unit         that increases the half-life of said amino acid sequence (and         preferably an ISV that is directed to a serum protein and in         particular to serum albumin, or a peptide that is directed to a         serum protein and in particular to serum albumin), optionally         suitably linked via one or more suitable linkers. As further         described herein, such a compound, construct, protein or         polypeptide of the invention preferably comprises two         “13B03-like sequences” (as defined herein, and more preferably         two humanized and/or sequence-optimized variants of 13B03),         which may be the same or different, or two “13E02-like         sequences” (as defined herein, and more preferably a humanized         and/or sequence-optimized variant of 13E02), which again may be         the same or different, with compounds, constructs, proteins or         polypeptides of the invention that comprise or essentially         consist of two “13B03-like sequences” being particularly         preferred. A specifically preferred, but non-limiting example of         such a polypeptide of the invention is IL17MS3079 (see Example         26 and Table 33). Other examples of such/similar compounds,         constructs, proteins or polypeptides of the invention will be         clear to the skilled person based on the disclosure herein.

Some specifically preferred but non-limiting compounds, constructs, proteins or polypeptides of the invention may comprise or essentially consist of:

-   -   Two “13B03-like sequences” (as defined herein, and more         preferably two humanized and/or sequence-optimized variants of         13B03), which may be the same or different (and are preferably         the same) and one ISV against human serum albumin or a peptide         directed to human serum albumin, optionally suitably linked via         one or more suitable linkers (as described herein);     -   A “13B03-like sequence” (as defined herein, and more preferably         a humanized and/or sequence-optimized variant of 13B03), a         “16A04-like sequence” (as defined herein, and more preferably a         humanized and/or sequence-optimized variant of 16A04) and one         ISV against human serum albumin or a peptide directed to human         serum albumin, optionally suitably linked via one or more         suitable linkers (as described herein);     -   A “13E02-like sequence” (as defined herein, and more preferably         a humanized and/or sequence-optimized variant of 13E02), a         “16A04-like sequence” (as defined herein, and more preferably a         humanized and/or sequence-optimized variant of 16A04) and one         ISV against human serum albumin or a peptide directed to human         serum albumin, optionally suitably linked via one or more         suitable linkers (as described herein).

Again, some specific but non-limiting examples of such compounds, constructs, proteins or polypeptides of the invention are given herein (see for example Table 34) or will be clear to the skilled person based on the disclosure herein.

Preferably, the compounds, constructs, proteins or polypeptides of the invention have a blocking activity, which can be determined by any suitable assay known to the person skilled in the art, such as, for instance, by means of Alphascreen assays (e.g. such as described herein) or by cell based assays (e.g. such as described herein). Preferably, the blocking activity is determined by a HT-1080 cell based assay, for instance, such as described in Example 9.

In particular, compounds, constructs, proteins or polypeptides of the invention comprising an amino acid sequence of the invention (and in particular, an ISV of the invention) belonging to Class 1 (as defined herein), said compounds, constructs, proteins or polypeptides preferably have a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM, 18 nM, 16 nM, 15 nM, 14 nM, 13 nM, 12 nM, or 11 nM or even more preferably of less than 10 nM.

In particular, compounds, constructs, proteins or polypeptides of the invention comprising an amino acid sequence of the invention (and in particular, an ISV of the invention) belonging to Class 2 (as defined herein), said compounds, constructs, proteins or polypeptides preferably have a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or said compounds, constructs, proteins or polypeptides have a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

In particular, compounds, constructs, proteins or polypeptides of the invention comprising an amino acid sequence of the invention (and in particular, an ISV of the invention) belonging to Class 3 (as defined herein), said compounds, constructs, proteins or polypeptides preferably have a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM and/or said compounds, constructs, proteins or polypeptides have a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 250 nM, more preferably, less than 200 nM, 150 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, or 40 nM or even more preferably of less than 35 nM.

In particular, compounds, constructs, proteins or polypeptides of the invention comprising an amino acid sequence of the invention (and in particular, an ISV of the invention) belonging to Class 4 (as defined herein), said compounds, constructs, proteins or polypeptides preferably have a blocking activity of 0.3 μg/ml IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 150 nM, more preferably, less than 100 nM, 50 nM or even less, such as less than 20 nM or 15 nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of less than 5 nM, and/or the said compounds, constructs, proteins or polypeptides have a blocking activity of 4.5 μg/ml IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 350 nM, more preferably, less than 250 nM, 200 nM or even less, such as less than 175 nM or 150 nM, 140 nM, or 125 nM or even more preferably of less than 110 nM and/or said compounds, constructs, proteins or polypeptides have a blocking activity of 1.5 μg/ml IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells with an IC50 of less than 200 nM, more preferably, less than 150 nM, 125 nM or even less, such as less than 100 nM or 80 nM, 75 nM, 70 nM, 60 nM, 50 nM, 40 nM or 30 nM or even more preferably of less than 25 nM.

It will be appreciated by the person skilled in the art that the blocking activity of the compounds, constructs, proteins or polypeptides of the invention, which comprise more than one (building block of) Class 1, 2, 3 or 4 amino acid sequences, can be determined according to any of the assays as described above, wherein said compounds, constructs, proteins or polypeptides of the invention preferably have a blocking activity similarly to the blocking activity of each of its constituents, i.e. a blocking activity similarly to the blocking activity of each of the (building blocks of) Class 1, 2, 3 or 4 amino acid sequences comprised in said compounds, constructs, proteins or polypeptides of the invention. Some specific but non-limiting examples of the abovementioned preferred compounds, constructs, proteins or polypeptides of the invention are:

-   -   Compounds, constructs, proteins or polypeptides that have at         least 80% sequence identity (as defined herein) with a sequence         selected from the group consisting of SEQ ID NO:s 623, 624, 625,         626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638,         639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651,         652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664,         665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677,         678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690,         691, 692, 693.     -   Compounds, constructs, proteins or polypeptides that have at         least 85% sequence identity (as defined herein) with a sequence         selected from the group consisting of SEQ ID NO:s 623, 624, 625,         626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638,         639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651,         652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664,         665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677,         678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690,         691, 692, 693.     -   Compounds, constructs, proteins or polypeptides that have at         least 90% sequence identity (as defined herein) with a sequence         selected from the group consisting of SEQ ID NO:s 623, 624, 625,         626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638,         639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651,         652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664,         665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677,         678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690,         691, 692, 693.     -   Compounds, constructs, proteins or polypeptides that have at         least 95% sequence identity (as defined herein) with a sequence         selected from the group consisting of SEQ ID NO:s 623, 624, 625,         626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638,         639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651,         652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664,         665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677,         678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690,         691, 692, 693.     -   Compounds, constructs, proteins or polypeptides that consists of         two 13B03-like sequences which may be the same or different in         which each 13B03-like sequence is independently chosen from         IL17MS3067 or IL17MS3068, and further consists of one ISV         against human serum albumin or a peptide directed to human serum         albumin (such as Alb-8/Alb-11); all optionally suitably linked         via one or more suitable linkers (as described herein). A         specific preferred but-non-limiting example of such a         polypeptide is IL17MS3079.     -   Compounds, constructs, proteins or polypeptides that consists of         a 13B03-like sequence that is independently chosen from         IL17MS3067 or IL17MS3068, a 16A04-like sequence that is         independently chosen from IL17MS3063 (or IL17MS3063 without the         E1D substitution) and one ISV against human serum albumin or a         peptide directed to human serum albumin (such as Alb-8/Alb-11),         optionally suitably linked via one or more suitable linkers (as         described herein). Specific preferred but-non-limiting examples         of such polypeptides are IL17MS3084 and IL17MS3085.     -   Compounds, constructs, proteins or polypeptides that consists of         a 13E02-like sequence that is independently chosen from         IL17MS3069 or IL17MS3070, a 16A04-like sequence that is         independently chosen from IL17MS3063 (or IL17MS3063 without the         E1D substitution) and one ISV against human serum albumin or a         peptide directed to human serum albumin (such as Alb-8/Alb-11),         optionally suitably linked via one or more suitable linkers (as         described herein). Specific preferred but-non-limiting examples         of such polypeptides are IL17MS3086, IL17MS3087 and IL17MS3091.     -   Compounds, constructs, proteins or polypeptides that have at         least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3079.         Preferably, the compounds, constructs, proteins or polypeptides         that have at least 80%, such as at least 85%, preferably at         least 90% sequence identity (as defined herein) with IL17MS3079         have a blocking activity, which can be determined by any         suitable assay known to the person skilled in the art, such as,         for instance, by means of Alphascreen assays (e.g. such as         described herein) or by cell based assays (e.g. such as         described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 26. Preferably, said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3079 have a blocking activity of 1 nM         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, 3 nM, 2 nM or even less than 1 nM         and/or said compounds, constructs, proteins or polypeptides that         have at least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3079 have a         blocking activity of 15 nM IL-17F induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 100         nM, more preferably, less than 75 nM, 50 nM or even less, such         as less than 40 nM or 30 nM, 25 nM, 20 nM, 15 nM or even more         preferably of less than 10 nM and/or said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3079 have a blocking activity of 5 nM         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, or 3 nM, or even less than 2 nM.     -   Compounds, constructs, proteins or polypeptides that have at         least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3084         Preferably, the compounds, constructs, proteins or polypeptides         that have at least 80%, such as at least 85%, preferably at         least 90% sequence identity (as defined herein) with IL17MS3084         have a blocking activity, which can be determined by any         suitable assay known to the person skilled in the art, such as,         for instance, by means of Alphascreen assays (e.g. such as         described herein) or by cell based assays (e.g. such as         described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 26. Preferably, said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3084 have a blocking activity of 1 nM         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, 3 nM, 2 nM or even less than 1 nM         and/or said compounds, constructs, proteins or polypeptides that         have at least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3084 have a         blocking activity of 15 nM IL-17F induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 100         nM, more preferably, less than 75 nM, 50 nM or even less, such         as less than 40 nM or 30 nM, 25 nM, 20 nM, 15 nM or even more         preferably of less than 10 nM and/or said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3084 have a blocking activity of 5 nM         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, or 3 nM, or even less than 2 nM.     -   Compounds, constructs, proteins or polypeptides that have at         least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3085 .         Preferably, the compounds, constructs, proteins or polypeptides         that have at least 80%, such as at least 85%, preferably at         least 90% sequence identity (as defined herein) with IL17MS3085         have a blocking activity, which can be determined by any         suitable assay known to the person skilled in the art, such as,         for instance, by means of Alphascreen assays (e.g. such as         described herein) or by cell based assays (e.g. such as         described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 26. Preferably, said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3085 have a blocking activity of 1 nM         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, 3 nM, 2 nM or even less than 1 nM         and/or said compounds, constructs, proteins or polypeptides that         have at least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3085 have a         blocking activity of 15 nM IL-17F induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 100         nM, more preferably, less than 75 nM, 50 nM or even less, such         as less than 40 nM or 30 nM, 25 nM, 20 nM, 15 nM or even more         preferably of less than 10 nM and/or said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3085 have a blocking activity of 5 nM         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, or 3 nM, or even less than 2 nM.     -   Compounds, constructs, proteins or polypeptides that have at         least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3086.         Preferably, the compounds, constructs, proteins or polypeptides         that have at least 80%, such as at least 85%, preferably at         least 90% sequence identity (as defined herein) with IL17MS3086         have a blocking activity, which can be determined by any         suitable assay known to the person skilled in the art, such as,         for instance, by means of Alphascreen assays (e.g. such as         described herein), Kinetic Exclusion Assay “KinExA” technology         (e.g. such as described herein) or by cell based assays (e.g.         such as described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 26. Preferably, said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3086 have a blocking activity of 1 nM         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, 3 nM, 2 nM or even less than 1 nM         and/or said compounds, constructs, proteins or polypeptides that         have at least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3086 have a         blocking activity of 15 nM IL-17F induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 100         nM, more preferably, less than 75 nM, 50 nM or even less, such         as less than 40 nM or 30 nM, 25 nM, 20 nM, 15 nM or even more         preferably of less than 10 nM and/or said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3086 have a blocking activity of 5 nM         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, or even less than 3 nM.

Also preferably, the binding activity is determined by a KinExA technology based assay, for instance, such as described in Example 29. Preferably, said compounds, constructs, proteins or polypeptides that have at least 80%, such as at least 85%, preferably at least 90% sequence identity (as defined herein) with IL17MS3086 (i.e. excluding the tag of IL17MS3091) have a equilibrium dissociation constant (Kd) in solution with hIL-17A of less than 50 pM, more preferably, less than 40 pM, 30 pM or even less, such as less than 20 pM or 15 pM, 10 pM, 9 pM, 8 pM, 7 pM or 6 pM or even more preferably of less than 5 pM, such as 4 pM, 3 pM, 2 pM or even less than 1 pM, such as less than 0.5 pM and/or said compounds, constructs, proteins or polypeptides that have at least 80%, such as at least 85%, preferably at least 90% sequence identity (as defined herein) with IL17MS3086 (i.e. excluding the tag of IL17MS3091) have a equilibrium dissociation constant (Kd) in solution with hIL-17F of less than 100 pM, more preferably, less than 80 pM, 60 pM or even less, such as less than 50 pM, 40 pM, 30 pM, 20 pM or 15 pM, 10 pM, 9 pM, 8 pM, 7 pM or 6 pM or even more preferably of less than 5 pM, such as 4 pM, or 3 pM or even less than 2 pM, such as less than 1.5 pM.

-   -   Compounds, constructs, proteins or polypeptides that have at         least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3087.         Preferably, the compounds, constructs, proteins or polypeptides         that have at least 80%, such as at least 85%, preferably at         least 90% sequence identity (as defined herein) with IL17MS3087         have a blocking activity, which can be determined by any         suitable assay known to the person skilled in the art, such as,         for instance, by means of Alphascreen assays (e.g. such as         described herein) or by cell based assays (e.g. such as         described herein). Preferably, the blocking activity is         determined by a HT-1080 cell based assay, for instance, such as         described in Example 26. Preferably, said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3087 have a blocking activity of 1 nM         IL-17A-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, 3 nM, 2 nM or even less than 1 nM         and/or said compounds, constructs, proteins or polypeptides that         have at least 80%, such as at least 85%, preferably at least 90%         sequence identity (as defined herein) with IL17MS3087 have a         blocking activity of 15 nM IL-17F induced IL-6 production in         human fibrosarcoma HT-1080 cells with an IC50 of less than 100         nM, more preferably, less than 75 nM, 50 nM or even less, such         as less than 40 nM or 30 nM, 25 nM, 20 nM, 15 nM or even more         preferably of less than 10 nM and/or said compounds, constructs,         proteins or polypeptides that have at least 80%, such as at         least 85%, preferably at least 90% sequence identity (as defined         herein) with IL17MS3087 have a blocking activity of 5 nM         IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080         cells with an IC50 of less than 150 nM, more preferably, less         than 100 nM, 50 nM or even less, such as less than 20 nM or 15         nM, 10 nM, 9 nM, 8 nM, 7 nM or 6 nM or even more preferably of         less than 5 nM, such as 4 nM, or 3 nM, or even less than 2 nM.

The efficacy of the amino acid sequences and polypeptides of the invention, and of compositions comprising the same, can be tested using any suitable in vitro assay, cell-based assay, in vivo assay and/or animal model known per se, or any combination thereof, depending on the specific disease or disorder involved. Suitable assays and animal models will be clear to the skilled person, and for example include e.g. AlphaScreen, KinExA and Inhibition of IL-17A; -F; -A/F-induced IL-6 production in human fibrosarcoma HT-1080 cells (see experimental part), as well as the assays and animal models used in the experimental part below and in the prior art cited herein.

Also, according to the invention, amino acid sequences and polypeptides that are directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from a first species of warm-blooded animal may or may not show cross-reactivity with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from one or more other species of warm-blooded animal. For example, amino acid sequences and polypeptides directed against human any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof may or may not show cross reactivity with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from one or more other species of primates (such as, without limitation, monkeys from the genus Macaca (such as, and in particular, cynomolgus monkeys (Macaca fascicularis) and/or rhesus monkeys (Macaca mulatta) and baboon (Papio ursinus)) and/or with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from one or more species of animals that are often used in animal models for diseases (for example mouse, rat, rabbit, pig or dog), and in particular in animal models for diseases and disorders associated with any of IL-17A, 1L-17F and/or IL-17A/F including combinations thereof (such as the species and animal models mentioned herein). In this respect, it will be clear to the skilled person that such cross-reactivity, when present, may have advantages from a drug development point of view, since it allows the amino acid sequences and polypeptides against any of human IL-17A, IL-17F and/or IL-17A/F including combinations thereof to be tested in such disease models.

More generally, amino acid sequences and polypeptides of the invention that are cross-reactive with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from multiple species of mammal will usually be advantageous for use in veterinary applications, since it will allow the same amino acid sequence or polypeptide to be used across multiple species. Thus, it is also encompassed within the scope of the invention that amino acid sequences and polypeptides directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from one species of animal (such as amino acid sequences and polypeptides against any of human IL-17A, IL-17F and/or LL-17A/F including combinations thereof) can be used in the treatment of another species of animal, as long as the use of the amino acid sequences and/or polypeptides provide the desired effects in the species to be treated.

The present invention is in its broadest sense also not particularly limited to or defined by a specific antigenic determinant, epitope, part, domain, subunit or confirmation (where applicable) of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof against which the amino acid sequences and polypeptides of the invention are directed. For example, the amino acid sequences and polypeptides may or may not be directed against an “interaction site” (as defined herein). However, it is generally assumed and preferred that the amino acid sequences and polypeptides of the invention are preferably directed against an interaction site (as defined herein), and in particular against an epitope or similar epitopes on any of IL-17A, IL-17F and/or IL-17A/F that allows blocking of a biological response by a single or bi-specific binding unit (see also the different Classes of indentified binding molecules of the invention in the experimental part (e.g. Table 1). Thus, in one preferred, but non-limiting aspect, the amino acid sequences and polypeptides of the invention are directed against an epitope that allows binding and/or blocking a biological response to IL-17A, IL-17F and IL-17A/F, and are as further defined herein. In preferred aspect, a polypeptide of the invention may contain two or more amino acid sequences of the invention (and preferably ISV's), wherein at least one amino acid sequence of the invention (preferably an ISV) is directed against or binds to the amino acid(s) L74, Y85 and/or N88 of hIL-17A (SEQ ID NO: 839), and/or wherein at least one amino acid sequence of the invention (preferably an ISV) is directed against or binds to the amino acid(s) R47, R73, I86 and/or N89 of hIL-17F (SEQ ID NO: 840), including combinations thereof.

Accordingly, the present invention relates to an amino acid sequence according to the invention, wherein the amino acid sequence is directed against and/or that can specifically bind to human IL-17 A and IL-17A/F (Class 2), wherein the amino acid sequence binds to a L74A, a Y85A and/or a H54A IL-17A mutant with significantly reduced affinity as compared to binding to the wildtype IL-17A sequence.

Accordingly, the present invention relates to an amino acid sequence according to the invention, wherein said amino acid sequence is directed against and/or that can specifically bind to human IL-17A, IL-17F and IL-17A/F (Class 4), wherein the amino acid sequence binds to a L74A, a Y85A and/or a N88A IL-17A mutant with significantly reduced affinity as compared to binding to the wildtype IL-17A sequence.

Accordingly, the present invention relates to an amino acid sequence according to the invention, wherein said amino acid sequence is directed against and/or that can specifically bind to human IL17F and wherein the amino acid sequence binds to a R47A or R73A or I86A or N89A IL-17F mutant with significantly reduced affinity as compared to binding to the wildtype IL-17F sequence.

In this regard, as used herein “significantly reduced affinity” means an affinity which is lower than the reference affinity. Preferably “significantly reduced affinity” means that the affinity is lower by a factor of at least 1.1, 1.2, 1.3, 1.4, 1.5, 2, 3, 5, 10, 20, 30, 40, 50 or by a factor of at least 100 compared to the reference affinity as indicated.

As further described herein, a polypeptide of the invention may contain two or more amino acid sequences of the invention (and preferably ISV's) that are directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. Generally, such polypeptides will bind to any of IL-17A, IL-17F and/or LL-17A/F including combinations thereof with increased avidity compared to a single amino acid sequence of the invention (for instance, as determined by KinExA technology as described in Example 22). Such a polypeptide may, for example, comprise two amino acid sequences of the invention that are directed against the same antigenic determinant, epitope, part, domain, subunit or confirmation (where applicable) of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (which may or may not be an interaction site); or comprise at least one “first” amino acid sequence of the invention that is directed against a first same antigenic determinant, epitope, part, domain, subunit or confirmation (where applicable) of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (which may or may not be an interaction site); and at least one “second” amino acid sequence of the invention that is directed against a second antigenic determinant, epitope, part, domain, subunit or confirmation (where applicable) different from the first (and which again may or may not be an interaction site). Preferably, in such “biparatopic” polypeptides of the invention, at least one amino acid sequence of the invention is directed against an interaction site (as defined herein), although the invention in its broadest sense is not limited thereto.

Also, when the target is part of a binding pair (i.e. as herein described a receptor-ligand binding pair), the amino acid sequences and polypeptides may be such that they compete with the cognate binding partner (e.g. the ligand, receptor or other binding partner, as applicable) for binding to the target, and/or such that they (fully or partially) neutralize binding of the binding partner to the target.

It is also within the scope of the invention that, where applicable, an amino acid sequence of the invention can bind to two or more antigenic determinants, epitopes, parts, domains, subunits or confirmations of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. In such a case, the antigenic determinants, epitopes, parts, domains or subunits of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof to which the amino acid sequences and/or polypeptides of the invention bind may be essentially the same (for example, if any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof contains repeated structural motifs or occurs in a multimeric form) or may be different (and in the latter case, the amino acid sequences and polypeptides of the invention may bind to such different antigenic determinants, epitopes, parts, domains, subunits of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity and/or specificity which may be the same or different).

It is also expected that the amino acid sequences and polypeptides of the invention will generally bind to all naturally occurring or synthetic analogs, variants, mutants, alleles, parts and fragments of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; or at least to those analogs, variants, mutants, alleles, parts and fragments of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof that contain one or more antigenic determinants or epitopes that are essentially the same as the antigenic determinant(s) or epitope(s) to which the amino acid sequences and polypeptides of the invention bind in any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (e.g. in wild-type any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof). Again, in such a case, the amino acid sequences and polypeptides of the invention may bind to such analogs, variants, mutants, alleles, parts and fragments with an affinity and/or specificity that are the same as, or that are different from (i.e. higher than or lower than), the affinity and specificity with which the amino acid sequences of the invention bind to (wild-type) any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. It is also included within the scope of the invention that the amino acid sequences and polypeptides of the invention bind to some analogs, variants, mutants, alleles, parts and fragments of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, but not to others.

Also, as will be clear to the skilled person, proteins or polypeptides that contain two or more amino acid sequences (and preferably ISV's) directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof may bind with higher avidity to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof than the corresponding monomeric amino acid sequence(s). For example, and without limitation, proteins or polypeptides that contain two or more amino acid sequences directed against different epitopes of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof may (and usually will) bind with higher avidity than each of the different monomers, and proteins or polypeptides that contain two or more amino acid sequences directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof may (and usually will) bind also with higher avidity to a multimer of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof.

Generally, amino acid sequences and polypeptides of the invention will at least bind to those forms of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (including monomeric, multimeric and associated forms) that are the most relevant from a biological and/or therapeutic point of view, as will be clear to the skilled person.

It is also within the scope of the invention to use parts, fragments, analogs, mutants, variants, alleles and/or derivatives of the amino acid sequences and polypeptides of the invention, and/or to use proteins or polypeptides comprising or essentially consisting of one or more of such parts, fragments, analogs, mutants, variants, alleles and/or derivatives, as long as these are suitable for the uses envisaged herein. Such parts, fragments, analogs, mutants, variants, alleles and/or derivatives will usually contain (at least part of) a functional antigen-binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; and more preferably will be capable of specific binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and even more preferably capable of binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein. Some non-limiting examples of such parts, fragments, analogs, mutants, variants, alleles, derivatives, proteins and/or polypeptides will become clear from the further description herein. Additional fragments or polypeptides of the invention may also be provided by suitably combining (i.e. by linking or genetic fusion) one or more (smaller) parts or fragments as described herein. When the amino acid sequence of the invention is an ISV, such a part, fragment, analog, mutant, variant, allele and/or derivative may be a part, fragment, analog, mutant, variant, allele and/or derivative of such an ISV.

In one specific, but non-limiting aspect of the invention, which will be further described herein, such analogs, mutants, variants, alleles, derivatives have an increased half-life in serum (as further described herein) compared to the amino acid sequence from which they have been derived. For example, an amino acid sequence of the invention may be linked (chemically or otherwise) to one or more groups or moieties that extend the half-life (such as PEG), so as to provide a derivative of an amino acid sequence of the invention with increased half-life.

In one specific, but non-limiting aspect, the amino acid sequence of the invention may be an amino acid sequence that comprises an immunoglobulin fold or may be an amino acid sequence that, under suitable conditions (such as physiological conditions) is capable of forming an immunoglobulin fold (i.e. by folding). Reference is inter alia made to the review by Halaby et al., J. (1999) Protein Eng. 12, 563-71. Preferably, when properly folded so as to form an immunoglobulin fold, such an amino acid sequence is capable of specific binding (as defined herein) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; and more preferably capable of binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein. Also, parts, fragments, analogs, mutants, variants, alleles and/or derivatives of such amino acid sequences are preferably such that they comprise an immunoglobulin fold or are capable for forming, under suitable conditions, an immunoglobulin fold.

In particular, but without limitation, the amino acid sequences of the invention may be amino acid sequences that essentially consist of 4 framework regions (FR1 to FR4 respectively) and 3 complementarity determining regions (CDR1 to CDR3 respectively); or any suitable fragment of such an amino acid sequence (which will then usually contain at least some of the amino acid residues that form at least one of the CDR's, as further described herein).

The amino acid sequences of the invention may in particular be an immunoglobulin sequence or a suitable fragment thereof, and more in particular be an immunoglobulin variable domain sequence or a suitable fragment thereof, such as light chain variable domain sequence (e.g. a V_(L)-sequence) or a suitable fragment thereof; or a heavy chain variable domain sequence (e.g. a V_(H)-sequence) or a suitable fragment thereof. When the amino acid sequence of the invention is a heavy chain variable domain sequence, it may be a heavy chain variable domain sequence that is derived from a conventional four-chain antibody (such as, without limitation, a V_(H) sequence that is derived from a human antibody) or be a so-called V_(HH)-sequence (as defined herein) that is derived from a so-called “heavy chain antibody” (as defined herein).

However, it should be noted that the invention is not limited as to the origin of the amino acid sequence (or ISV) of the invention (or of the nucleotide sequence of the invention used to express it), or as to the way that the amino acid sequence or nucleotide sequence of the invention is (or has been) generated or obtained. Thus, the amino acid sequences of the invention may be naturally occurring amino acid sequences (from any suitable species) or synthetic or semi-synthetic amino acid sequences. In a specific but non-limiting aspect of the invention, the amino acid sequence is a naturally occurring immunoglobulin sequence (from any suitable species) or a synthetic or semi-synthetic immunoglobulin sequence, including but not limited to “humanized” (as defined herein) immunoglobulin sequences (such as partially or fully humanized mouse or rabbit immunoglobulin sequences, and in particular partially or fully humanized V_(HH) sequences or Nanobodies), “camelized” (as defined herein) immunoglobulin sequences, as well as immunoglobulin sequences that have been obtained by techniques such as affinity maturation (for example, starting from synthetic, random or naturally occurring immunoglobulin sequences), CDR grafting, veneering, combining fragments derived from different immunoglobulin sequences, PCR assembly using overlapping primers, and similar techniques for engineering immunoglobulin sequences well known to the skilled person; or any suitable combination of any of the foregoing. Reference is for example made to the standard handbooks, as well as to the further description and prior art mentioned herein.

Similarly, the nucleotide sequences of the invention may be naturally occurring nucleotide sequences or synthetic or semi-synthetic sequences, and may for example be sequences that are isolated by PCR from a suitable naturally occurring template (e.g. DNA or RNA isolated from a cell), nucleotide sequences that have been isolated from a library (and in particular, an expression library), nucleotide sequences that have been prepared by introducing mutations into a naturally occurring nucleotide sequence (using any suitable technique known per se, such as mismatch PCR), nucleotide sequence that have been prepared by PCR using overlapping primers, or nucleotide sequences that have been prepared using techniques for DNA synthesis known per se.

As mentioned, the amino acid sequences of the invention are preferably immunoglobulin single variable domains (ISV's), by which is meant an immunoglobulin variable domain that comprises a functional antigen binding (in the sense that it does not require an interaction with another immunoglobulin variable domain—such as a VH-VL interaction—to form a functional antigen binding site).

The amino acid sequence of the invention may in particular be a domain antibody (or an amino acid sequence that is suitable for use as a domain antibody), a single domain antibody (or an amino acid sequence that is suitable for use as a single domain antibody), a “dAb” (or an amino acid sequence that is suitable for use as a dAb) or a Nanobody™ (as defined herein, and including but not limited to a V_(HH) sequence); other single variable domains, or any suitable fragment of any one thereof. For a general description of (single) domain antibodies, reference is also made to the prior art cited above, as well as to EP 0 368 684. For the term “dAb's”, reference is for example made to Ward et al. (Nature 1989 Oct. 12; 341 (6242): 544-6), to Holt et al., Trends Biotechnol., 2003, 21(11):484-490; as well as to for example WO 06/030220, WO 06/003388 and other published patent applications of Domantis Ltd. It should also be noted that, although less preferred in the context of the present invention because they are not of mammalian origin, single domain antibodies or single variable domains can be derived from certain species of shark (for example, the so-called “IgNAR domains”, see for example WO 05/18629).

In particular, the amino acid sequence of the invention may be a Nanobody® (as defined herein) or a suitable fragment thereof. [Note: Nanobody®, Nanobodies® and Nanoclone® are registered trademarks of Ablynx N.V.] Such Nanobodies directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof will also be referred to herein as “Nanobodies of the invention”.

For a general description of Nanobodies, reference is made to the further description below, as well as to the prior art cited herein. In this respect, it should however be noted that this description and the prior art mainly described Nanobodies of the so-called “V_(H)3 class” (i.e. Nanobodies with a high degree of sequence homology to human germline sequences of the V_(H)3 class such as DP-47, DP-51 or DP-29), which Nanobodies form a preferred aspect of this invention. It should however be noted that the invention in its broadest sense generally covers any type of Nanobody directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and for example also covers the Nanobodies belonging to the so-called “V_(H)4 class” (i.e. Nanobodies with a high degree of sequence homology to human germline sequences of the V_(H)4 class such as DP-78), as for example described in WO 07/118670.

Generally, Nanobodies (in particular V_(HH) sequences and partially humanized Nanobodies) can in particular be characterized by the presence of one or more “Hallmark residues” (as described herein) in one or more of the framework sequences (again as further described herein).

Thus, generally, a Nanobody can be defined as an amino acid sequence with the (general) structure

-   -   FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4         in which FR1 to FR4 refer to framework regions 1 to 4,         respectively, and in which CDR1 to CDR3 refer to the         complementarity determining regions 1 to 3, respectively, and in         which one or more of the Hallmark residues are as further         defined herein.

In particular, a Nanobody can be an amino acid sequence with the (general) structure

-   -   FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4         in which FR1 to FR4 refer to framework regions 1 to 4,         respectively, and in which CDR1 to CDR3 refer to the         complementarity determining regions 1 to 3, respectively, and in         which the framework sequences are as further defined herein.

More in particular, a Nanobody can be an amino acid sequence with the (general) structure

-   -   FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4         in which FR1 to FR4 refer to framework regions 1 to 4,         respectively, and in which CDR1 to CDR3 refer to the         complementarity determining regions 1 to 3, respectively, and in         which:

-   i) preferably one or more of the amino acid residues at positions     11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according to the Kabat     numbering are chosen from the Hallmark residues mentioned in Table     B-2 below;     and in which:

-   ii) said amino acid sequence has at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 1 to     22, in which for the purposes of determining the degree of amino     acid identity, the amino acid residues that form the CDR sequences     (indicated with X in the sequences of SEQ ID NOs: 1 to 22) are     disregarded.

In these Nanobodies, the CDR sequences are generally as further defined herein. Thus, the invention also relates to such Nanobodies that can bind to (as defined herein) and/or are directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, to suitable fragments thereof, as well as to polypeptides that comprise or essentially consist of one or more of such Nanobodies and/or suitable fragments.

SEQ ID NOs: 623 to 693 (see Table A-1) give the amino acid sequences of a number of V_(HH) sequences that have been raised against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof.

TABLE A-1 Preferred VHH sequences or Nanobody sequences (also referred herein as a sequence with a particular name or SEQ ID NO: X, wherein X is a number referring to the relevant amino acid sequence): SEQ ID NO: X, Name Properties wherein X= Amino acid sequence 01D02 Anti-IL-17A 623 EVQLVESGGGLVQAGGSLRLSCAASGLSFSS YALGWFRQAPGKERDFVAAINWSGDNTHY ADSVKGRFTISRDNAKNTVSLQMNSLKPED TAVYYCAAQLGYESGYSLTYDYDYWGQGT QVTVSS 01G03 Anti-IL-17A 624 EVQLVESGGGLVQAGGSLRLSCAASERTISN YDMGWFRQAPGKERELIAADISWSALNTNY ADSVKGRFTISRDNAICNMVYLQMNNLKPE DTAVYYCAARRSGYASFDNWGQGTQVTVS S 02E03 Anti-IL-17A 625 EVQLVESGGGLVQPGGSLRLSCAASGFTFSS YAMSWARQAPGEGLEWVSDINSGGTRTTY ADSVKGRFTISRDNAKNTLYLQMNSLKPED TAVYVCAKLSVFRSQLGGKYYGGDYENRG QGTQVTVSS 03B08 Anti-IL-17A 626 EVQLVESGGGLVQAGGSLRLSCAASGFTFD DYAIGWFRQAPGKEREGVSCISSSDGSIYYA DSVKGRFTISSDNAKNTVYLQMNSLKPEDT AVYHCARFGRTGWAEECVDYDYWGQGTQ VTVSS 03E05 Anti-IL-17A 627 EVQLVESGGGLVQAGGSLRLSCAASGVTFD DYSIGWFRQAPGKEREGVSCISSSDGIPYYSD FVKGRFTTSIDNAKNTVYLQMNSLKPEDTA VYYCAAGFGRLCAEFDSWGQGTQVTVSS 01D06 Anti-IL-17A 628 EVQLVESGGGLVQAGGSLRLSCAADGRTFS and IL-17A/F TYGMTWFRQVPGKEREFVAHIPRSTYSPYY ANSVKGRFTIARDDAKSTVYLQMNSLKPED TAVYYCAVFTGGTYYVPTAYDYWGQGTQV TVSS 02A08 Anti-IL-17A 629 EVQLVESGGGVVQPGGSLRLSCADSERSFSF and IL-17A/F NAMGWFRQAPGKEREFVAAISATGDDTYY ADSVKGRFAISRDTARNTVYLQMNSLKPED TAVYYCGARVNFDGTVSYTNDYAYWGQGT QVTVSS 02A10 Anti-IL-17A 630 EVQLVESGGGLVQPGGSLRLSCAASGFALG and IL-17A/F YYAIGWFRQAPGKEREGVSCDSSSDGRTYY GDSVKGRFTISTDSAKNTVYLQMNSLKPED TAVYYCATCTDFEYDYWGQGTQVTVSS 04B09 Anti-IL-17A 631 EVQLVESGGGLVQPGGSLRLSCAASGFTLG and IL-17A/F YYAIGWFRQAPGKEREGVSCDSSSDGDTYY ANSVKGRFTISTDNGKNTVYLQMNSLKPED TAVYYCATCTDWNYDYWGQGTQVTVSS 03C07 Anti-IL-17A 632 EVQLVESGGGLVQAGGSLRLSCAASGFTFD and IL-17A/F DYAIGWFRQAPGKEREAVSCFSSSDGSIYYA DSVKGRFTISSDNAKNTVYLQMNSLKPEDT AVYYCAGGGGSYYYTQLNYCYDMDYWGK GTQVTVSS 04A02 Anti-IL-17A 633 EVQLVESGGGLVQPGGSLRLSCAASRNINIIN and IL-17A/F YMAWYRQAPGNQRELVAAMTSDATTEYA DSVKGRFTISRDIPENTVYLQMNSLKPEDTA VYYCNAKGIWDYLGRRDFGDYWGQGTQV TVSS 04B10 Anti-IL-17A 634 EVQLVESGGGLVQAGGSQSLSCVASGTIVNI and IL-17A/F NVMGWYRQAPGKQRELVALITSGGGTTYG DSVKGRFTISIDNAKNTVILQMNSLEAEDTA VYYCAAEIGYYSGGTYFSSEAHWGQGTQVT VSS 04G01 Anti-IL-17A 635 EVQLVESGGGLVQAGGSQRLSCTASGTIVNI and IL-17A/F HVMGWYRQAPGKQRELVALIFSGGSADYA DSVKGRFTISRDNAKNTVYLEMNSLKAEDT AVYYCAAEIGYYSGGTYYSSEAHWGQGTQ VTVSS 04F09 Anti-IL-17A 636 EVQLVESGGGLVQPGGSLRLSCAASGRTFST and IL-17A/F HAMGWERQAPGKERDEVAAIRWSDGSSFY ADSVKGRFTISRDNAKNAVYLQSNSLKSED TAVYVCYADVEGPTALHKYWGRGTQVTVS S 09D10 Anti-IL-17A 637 EVQLVESGGGLVQAGGSLSLSCAASGSVFRI and IL-17A/F DVMRWHRQAPGKQREFLASIASGGTTNYA DSVKGRFTISRDNAKNTVYLQMNSLKPEDT AVYYCGANAESGPYTYWGLGTQVTVSS 09G10 Anti-IL-17A 638 EVQLVESGGGLVQAGGSLRLSCAASDSVET and 1L-17A/F AKAVGWYRQPPGLQREWVAIITSGGKTNYA DSSVKGRFFVSVDKVKNTVTLQMNSLKPED 11A06 Anti-IL-17A 639 TAVYYCYAQWMGRDYWGQGTQVTVSS and IL-17A/F EVQLVESGGGLVQPGESLRLSCKASGFSLDY YALGWFRQAPGKEREGISCITSSDASAYYTD SVKGRFTISRDNSKNTVYLQMNSLKTEDTAI YYCAAALLTCSSYYDAYTYWGQGTQVTVS S 06E11 Anti-IL-17F 640 EVQLVESGGGLVQAGGSLRLSCPVSGRAFS RGRLGWERQAPGKEREEVAVAHWSGAITSY ADSVKGRFTFSRDNAKNTMNLQMNSLKPE DTAVYYCAADSETSGNWVYWGQGTQVTVS S 07B09 Anti-IL-17F 641 EVQLVESGGGLVQAGGSLRLSCGASGGTFS SYATGWFRQAPGKEREFVAVLRWSDGHTA YADSVKGRFTISRDGAKNTMYLQMSSLKPE DTAIYYCTTATRPGEWDYWGQGTQVTVSS 24G10 Anti-IL-17F 642 EVQLVESGGGLVQAGGSLRLSCGAAGGTFS SYATGWFRQAPGKEREFVAVFRWSDSHTA YADSVKGRFTISRDGAKNTLYLQMSSLKPE DTAIYYCTTATRPGEWDYWGQGTQVTVSS 07B11 Anti-IL-17F 643 EVQLVESGGGLVQAGGSLRLSCVASGRAFS SYVMGWFRQAPGMEREFVALIRWSDGITGY VDSVKGRFTISRDNAKNTVYLQMNSLKPED TAVYYCAAAVRPGDYDYWGQGTQVTVSS 08A08 Anti-IL-17F 644 EVQLVESGGGLVQAGGSLRLSCAASGRTFR PYRMGWERRAPGICAREFVTLISWSSGRTSY ADSVKGRFTISRDSAKNAVYLQMDNLKPED TAVYFCAVDLSGDAVYDSWGQGTQVTVSS 08B07 Anti-IL-17F 645 EVQLVESGGGLVQPGGSLRLSCAASGRDFR VICNVGWIRQAPGKQRELVATITVGGSTNYA DSAKGRFTISRDNAICNTVYLQMSSLKPEDT AVYYCNAVATVTDYTGTYSDGFWGQGTQV TVSS 08H01 Anti-IL-17F 646 EVQLVESGGGLVQAGGSLRLSCGASGGTFS SYATGWFRQAPGKEREFVAVLRWSDSHTA YADSVEGRFTISRDGAKNTVYLQMSSLKPE DTAIYYCTTGTRPGEWHYWGQGTQVTVSS 12A09 Anti-IL-17F 647 EVQLVESGGGLVQPGGSLRLSCAASGFTFSS YRMAWVRQAPGKGLEWVSSTSTGGEMTNY ADSVKGRFTISRDNAKNTLHLQMNSLKPED TALYYCAAGTSAGHWSTGGQGTQVTVSS 16A04 Anti-IL-17F 648 EVQLVESGGGLVQAGGSLRLSCAASGRTFSS YVVGWFRQAPGKEREF1GAISGSGDSIYYAV SEICDRFTISRDNGKNTLYLQMSSLKAEDTA VYYCTADQEFGYLRFGRSEYWGQGTQVTV SS 24B08 Anti-IL-17F 649 EVQLVESGGGLVQAGGSLRLSCAVSGGTFS TYKMGWFRQAPGKEREIVARISTNGPTAYA EFVKGRFTVSRENTKNTVYLQMNSLNIEDT AVYYCAAGYDSLFAGYDYWGQGTQVTVSS EVQLVESGGGLVQAGGSLRLSCAASGFTFD 01A01 Cross-reactive: 650 DYDIGWERQAPGKEREGVSCETSSDGRTFY Anti-IL-17A, ADSVKGRFTVSADNAKNTVYLQMNSLEPED IL-17F and IL- TAVYFCAAVNTFDESAYAAFACYDVVRWG 17A/F QGTQVTVSS 09B09 Cross-reactive: 651 EMQLVESGGGLVQPGGSLRLSCAASGFTFSS Anti-IL-17A, YWMYWARQAPGKGLEWISALAPGGDDEY IL-17F and IL- YADSVNGRFTISRDNAENSLYLQMNSLKSE 17A/F DTAVYYCAKDHNVGYRTGEYDYGGQGTQ VTVSS 09E11 Cross-reactive: 652 EVQLVESGGGLVQPGGSLRLSCAASGFTFSS Anti-IL-17A, YWMYWVRQAPGKGLEWISALAPGGDNRY IL-17F and IL- YADSVNGRFTISRDNAENSLYLQMNSLKSE 17A/F DTAVYYCAKDHNVGYRTGEYDYGGQGTQ VTVSS 10A04 Cross-reactive: 653 EVQLVESGGGLVQPGGSLRLSCAASGFTFSS Anti-IL-17A, YWMYWVRQAPGKGLEWISALAPGGGNRY IL-17F and IL- YAESVNGRFTISRDNAKNSLYLQMNSLKSE 17A/F DTAVYYCAKDHNVGYRTGEYDYGGQGTQ VTVSS 10A05 Cross-reactive: 654 EVQLVESGGGLVQPGGSLRLSCAASGFTFSN Anti-IL-17A, YWMYWVRQAPGKGLEWISALAPGGDNRY IL-17F and IL- YADSVNGRFTISRDNAENSLYLQMNSLKSE 17A/F DTAVYYCAKDHNVGYRTGEYDYGGQGTQ VTVSS 10D11 Cross-reactive: 655 EVQLVESGGGLVQAGGSLRLSCAASGFTFSS Anti-IL-17A, YWMYWVRQAPGKGLEWISALAPGGEHRY IL-17F and IL- YADSVNGRFTISRDNAKNSLYLQMNSLKSE 17A/F DTAVYYCAKDHNVGYRTGEYDYGGQGTQ VTVSS 10F02 Cross-reactive: 656 EVQLVESGGGLVQPGGSLRLSCAASGFTESS Anti-IL-17A, YWMYWVRQAPGKGLEWISALAPGGGNAY IL-17F and IL- YADSVNGRFTISRDNAENLLYLQMNSLKSE 17A/F DTAVYYCAKDHNVGYRTGEYDYGGQGTQ VTVSS 11A02 Cross-reactive: 657 EVQLVESGGGLVQAGGSLRLSCAASGVIFRL Anti-IL-17A, NAMGWYRAAPGKQRELVAIIINGGSTNYAD IL-17F and IL- SVKGRFTISRDSAKNAVYLQMNSLKPEDTA 17A/F VYYCYYNIPGDVYWGQGTQVTVSS 11A07 Cross-reactive: 658 EVQLVESGGGLVQAGGSLRLSCAAPGVIFRL Anti-IL-17A, NAMGWYRAAPGKQRELVAIIANGGSTNYA IL-17F and IL- DSVKGRFTISRDSAKNAVYLQMNSLKPEDT 17A/F AVYYCYYNIPGDVYWGQGTRVTVSS 11C08 Cross-reactive: 659 EVQLVESGGGLVQAGGSLRLSCAASGVIFRL Anti-IL-17A, NAMGWYRAAPGKQRELVAIIVNGGSTNYA IL-17F and IL- DSVKGRFTISRDSAKNAVYLQMNSLKPEDT 17A/F AVYYCYYNIPGDVYWGQGTQVTVSS 11C09 Cross-reactive: 660 EVQLVESGGGLVQAGGSLRLSCAASGVIFRL Anti-IL-17A, NAMGWYRAAPGKQRELVAIIVNGGSTNYA IL-17F and IL- DSVKGRFFISRDSAKNAVYLQMDSLKPEDT 17A/F AVYYCYYNIPGDVYWGQGTQVTVSS 12H11 Cross-reactive: 661 EVQLVESGGGLVQPGGSLRLSCAASGVIFRL Anti-IL-17A, NAMGWYRAAPGKQRELVAIIVNGGSTNYA IL-17F and IL- DSVKGRFTISRDNAKNAVYLQMNSLKPEDT 17A/F AVYYCYYNIPGDVYWGQGTQVTVSS 13E303 Cross-reactive: 662 EVQLVESGGGSVQAGDSLRLSCAASGRANSI Anti-IL-17A, NWEGWERQTPGKEREFVAGIRWSDAYTEY IL-17F and IL- ANSVKGRFTISRDNAKNTVDLQMDSLKPED 17A/F TAVYYCVLDLSTVRYWGQGTQVTVSS 13D05 Cross-reactive: 663 EVQLVESGGGSVQAGDSLRLSCAASGRANSI Anti-IL-17A, NWFGWFRQTPGKEREFVAGIRWTDAYTEY IL-17F and IL- AASVKGRFTISRDNAKNTVGLQMDSLKPED 17A/F TAVYYCVLDLSTVRYWGQGSQVTVSS 13E02 Cross-reactive: 664 EVQLVESGGGLVQAGGSLRLSCAASGRTYD Anti-IL-17A, AMGWLRQAPGKEREFVAAISGSGDDTYYA IL-17F and IL- DSVKGRFTISKDNAGITMYLQMNSLKPEDT 17A/F AVYYCATRRGLYYVWDSNDYENWGQGTQ VTVSS 01D08 Cross-reactive: 665 EVQLVESGGGLVQAGGSLRLSCAASGRTYY Anti-IL-17A, AMGWLRQAPGKEREFVAAISGSGDDTYYA IL-17F and IL- DSVKGRFTISKDNAGITMYLEMNSLKPEDTA 17A/F VYYCATRRGRYYVWDSNDYENWGQGTQV TVSS 13E07 Cross-reactive: 666 EVQLVESGGGLVQAGGSLRLSCAASGRTYY Anti-IL-17A, AMGWLRQAPGKEREFVAAISGSGDDTYYA IL-17F and IL- DSVKGRFTISKDNAGITMYLQMNSLKPEDT 17A/F AVYYCATRRGLYYVWDSNDYENWGQGTQ VTVSS 13G06 Cross-reactive: 667 EVQLVESGGGLVQAGGSLRLSCAASGRTYH Anti-IL-17A, AMGWLRQAPGKEREFVAAVSGSGDDTYYA IL-17F and IL- DSVKGRFTISKDNAGITMYLQMNSLKPEDT 17A/F AVYYCATRRGLYYVWDSNDYENWGQGTQ VTVSS 13H05 Cross-reactive: 668 EVQLVESGGGLVQAGGSLRLSCAASGRTYD Anti-IL-17A, AMGWFRQAPGKEREFVAAISGSGEDTYYAD IL-17F and IL- SVKGRFTCSKDNAKDTMYLQMNSLKPEDT 17A/F AVYYCATRRGLYFITDSNDYENWGQGTQV TVSS 13E05 Cross-reactive: 669 EVQLVESGGGKVQAGDSLTLSCVASGGTFS Anti-IL-17A, NYAAWFRQAPGKDRRELVVSIFRTGSITYTA IL-17F and IL- DSVKGRFTASRVNTKNTVYLQMNSLKPEDT 17A/F AVYYCASAYNPGVGYDYWGQGTQVTVSS 17B03 Cross-reactive: 670 EVQLVESGGGLVQAGGSLRLSCEASGGTFS Anti-IL-17A, NYAAWFRQGPGKGRELVVSIFRSGTITYTAD IL-17F and IL- SVKGRFFASRVNTKNTVYLQMNSLKPEDTG 17A/F IYYCASAYNPGIGYDYWGQGTQVTVSS 17D08 Cross-reactive: 671 EVQLVESGGGLVQAGDSLTLSCVASGGTFS Anti-IL-17A, NYAAWFRQAPGKDRRELVVSIFRTGSITYTA IL-17F and IL- DSVKGRFTASRVNTKNTVYLQMNSLKPEDT 17A/F AVYYCASAYNPGVGYDYWGQGTQVTVSS 17E05 Cross-reactive: 672 EVQLVESGGGLVQAGDSLRLSCEASGGTFS Anti-IL-17A, NYAAWFRQGPGKGRELVVSIFRSGTITYTAD IL-17F and IL- SVKGRFTASRVNTKNTVYLQMNSLKPEDTG 17A/F IYYCASAYNPGIGYDYWGQGTQVTVSS 17G08 Cross-reactive: 673 EVQLVESGGGLVQPGGSLRLSCEASGGTFSN Anti-IL-17A, YAAWFRQGPGKGRELVVSIFRSGTITYTADS IL-17F and IL- VKGRFTASRVNTKNTVYLQMNSLKPEDTGI 17A/F YYCASAYNPGIGYDYWGQGTQVTVSS 17H04 Cross-reactive: 674 EVQLVESGGGLVQAGDSLRLSCVASGGTFS Anti-IL-17A, NYAAWFRQAPGKGRELILSIFRSGSITYTADS IL-17F and IL- VKGRFTGSRVNTKNTAYLQMNNLKPEDTA 17A/F VYYCASAYNPGIGYDYWGQGTQVTVSS 17H07 Cross-reactive: 675 EVQLVESGGGLVQAGDSLTLSCVASGGTFS Anti-IL-17A, NYAAWFRQAPGKDRRELVVSIFRTGSITYTA IL-17F and IL- DSVKGRFTASRVNTKNTVYLQMNSLKPEDT 17A/F AVYYCASAYNPGVGYDYWGQGTQVTVSS 01C09 Cross-reactive: 676 EVQLVKSGGGLVQAGGSLKLSCAASGRTFT Anti-IL-17A, TYPMGWFRQAPGKEREFVGAISMSGEDTIY IL-17F and IL- ATSVKGRFTISRDDARNTVTLHMTSLKPEDT 17A/F AVYYCAARTSYNGRYDYIDDYSYWGQGTQ VTVSS 01F10 Cross-reactive: 677 EVQLVESGGGLVQAGGSLRLSCAASGRTFT Anti-IL-17A, TYPMGWFRQAPGKEREFVAAISMSGEDAAY IL-17F and IL- ATSVKGRFTISRDNARNTVYLHMTTLKPED 17A/F TAVYYCAARTSYNGIYDYIDDYSYWGQGT QVTVSS 02D02 Cross-reactive: 678 EVQLVESGGGLVQAGGSLKLSCARSGRTFT Anti-IL-17A, TYPMGWFRQAPGKEREFVAAISMSGDDTAY IL-17F and IL- ATFVKGRFTIVRDDDKNTVYLHMTSLKPED 17A/F TAVYYCAARTSYSGTYDYIDDYSYWGQGT QVTVSS 13A08 Cross-reactive: 679 EVQLVESRGRLVQAGGSLRLSCAASGRTFTS Anti-IL-17A, YPMGWFRQAPGKEREFVAAISMSGDDAAY IL-17F and IL- ADFVRGRFTISRDDARNTVYLHMTSLKPED 17A/F TAVYYCAARTSYDGTYDYIDDYSYWGQGT QVTVSS 13B05 Cross-reactive: 680 EVQLVESGGRLVQAGGSLRLSCAASGRTFTS Anti-IL-17A, YPMGWFRQAPGKEREFVAAISMSGDDTAYT IL-17F and IL- DFVRGRFTISRDDARNTVYLHMTSLKPEDT 17A/F AVYYCAARTSYDGTYDYIDDYSYWGQGTQ VTVSS 13C06 Cross-reactive: 681 EVQLVESGGRLVQAGGSLRLSCAASGRTFTS Anti-IL-17A, YPMGWFRQAPGKEREFVAAISMSGDDAAY IL-17F and IL- ADFVRGRFTISRDDARNTVYLHMTSLKPED 17A/F TAVYYCAARTSYDGTYDYIDDYSYWGQGT QVTVSS 13E01 Cross-reactive: 682 EVQLVESEGGLVQAGGSLRLSCARSGHAFT Anti-IL-17A, SYPMGWFRQAPGKEREFVAAISMSGDDTIY IL-17F and IL- RDFVKGRFTISRDNARNTVYLHMTSLKPED 17A/F TAVYYCAARTSYDGRYDYIDDYSYWGQGT QVTVSS 13E03 Cross-reactive: 683 EVQLVESGGGLVQAGGSLRLSCAASGRTFT Anti-IL-17A, TYPMGWFRQAPGKEREFVAAISMSGDDTAY IL-17F and IL- ATFVKGRFTISRDSARNTVYLHMTRLKPEDT 17A/F AVYSCAARTSYDGRYDYIDDYSDWGQGTQ VTVSS 13E08 Cross-reactive: 684 EVQLVESRGGLVQAGGSLRLSCAGSGRTLY Anti-IL-17A, SYPMGWFRQAPGKEREFVAAISMSGDDTAV IL-17F and IL- ATFVKGRFTISRDNARNTVYLHMTSLKPEDT 17A/F AVYHCAARTSYSGRYDYIDDYSYWGQGTQ VTVSS 13G04 Cross-reactive: 685 EVQLVESGGGLVQAGGSLRLSCAASGRTLY Anti-IL-17A, SYPMGWFRQAPGKEREFVAAISMSGDDTAV IL-17F and IL- ATFVKGRFTISRDNARNTVYLHMSSLKPEDT 17A/F AVYHCAARTSYSGRYDYIDDYSYWGQGTQ VTVSS 13G05 Cross-reactive: 686 EVQLVESGGGLVQAGGSLELSCARSGRTFTT Anti-IL-17A, YPMGWFRQAPGKEREFVAAISMSGDDTAY IL-17F and IL- ATFVKGRFTFSRDDDKNTVYLHMTSLKPED 17A/F TAVYYCAARTSYSGMYDYIHDYSYWGQGT QVTVSS 13G08 Cross-reactive: 687 EVQLVESGGGLVQAGGSLRLSCAASGRTFFS Anti-IL-17A, YPMGWFRQAPGKEREFVAAISMSGDDSAYR IL-17F and IL- DFVKGRFTISRDNARDTVYLHMTSLKPEDT 17A/F AIYYCAARTSYNGRYDYIDDYSYWGQGTQ VTVSS 13H03 Cross-reactive: 688 EVQLVESGGGLVQAGGSLRLSCAASGRTFT Anti-IL-17A, TYPMGWFRQAPGKEREFVAAISMSGDDTAY IL-17F and IL- ATFVKGRFTISRDNARNTVYLHMTRLKPED 17A/F TAVYSCAARTSYDGRYDYIDDYSDWGQGT QVTVSS 17C01 Cross-reactive: 689 EVQLVESGGRLVQAGGSLRLPCAASGRTFTS Anti-IL-17A, YPMGWFRQAPGKEREFVAAISMSGDDAAY IL-17F and IL- ADFVRGRFTISRDDARNTVYLHMTSLKPED 17A/F TAVYYCAARTSYDGTYDYIDDYSYWGQGT QVTVSS 15A08 Cross-reactive: 690 EVQLVESGGGLVQPGGSLRLSCAASGFTLD Anti-IL-17A, YYAIGWFRQAPGKEREGVSCVSSSDGRTAY IL-17F and IL- ADSVKGRFTISRDNAKNTVYLQMNSLKPED 17A/F TAVYYCATVMEYGLGCTTDVLDAWGQGTL VTVSS 13G02 Cross-reactive: 691 EVQLVESRGGLVQAGGSLRLSCAASGGTFS Anti-IL-17A, VFAMRWFRQAPGKEREFVAGISWTGGTTY IL-17F and IL- YADSVKGRFTMSADNAKNTVYLQMNSLKP 17A/F EDTAVYYCAVDVGGGSDRYLGQGTQVTVS S 17E02 Cross-reactive: 692 EVQLVESRGGLVQAGGSLRLSCAASGGTFS Anti-IL-17A, VFAMRWFRQAPGKEREFVAGISWTGGTTY IL-17F and IL- YADSVKGRFTMSADNAKINTVYLQMNSLKP 17A/F EDTAVYYCAVDVGGGSDRYLGQGTQVTVS S 18B05 Cross-reactive: 693 EVQLVKSGGGLVQPGGSLRLSCAASGGTFS Anti-IL-17A, LFAMGWFREAPGKEREFVAAIRWSDGSSYY IL-17F and IL- ADSVKGRFTISRDNAKNAVHLQSNSLKSED 17A/F TAVYYCYADVQGGLHRYWGQGTQVTVSS

In particular, the invention in some specific aspects provides:

-   -   amino acid sequences (and in particular, ISV's) that are         directed against (as defined herein) any of IL-17A, IL-17F         and/or IL-17A/F including combinations thereof and that have at         least 80%, preferably at least 85%, such as 90% or 95% or more         sequence identity with at least one of the amino acid sequences         of SEQ ID NOs: 623 to 693 (see Table A-1). These amino acid         sequences may further be such that they neutralize binding of         the cognate ligand to any of IL-17A, IL-17F and/or IL-17A/F         including combinations thereof; and/or compete with the cognate         ligand for binding to any of IL-17A, IL-17F and/or IL-17A/F         including combinations thereof; and/or are directed against an         interaction site (as defined herein) on any of IL-17A, IL-17F         and/or IL-17A/F including combinations thereof (such as the         ligand binding site);     -   amino acid sequences (and in particular, ISV's) that cross-block         (as defined herein) the binding of at least one of the amino         acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1) to any         of IL-17A, IL-17F and/or IL-17A/F including combinations thereof         and/or that compete with at least one of the amino acid         sequences of SEQ ID NOs: 623 to 693 (see Table A-1) for binding         to any of IL-17A, IL-17F and/or IL-17A/F including combinations         thereof. Again, these amino acid sequences may further be such         that they neutralize binding of the cognate ligand to any of         IL-17A, IL-17F and/or IL-17A/F including combinations thereof;         and/or compete with the cognate ligand for binding to any of         IL-17A, IL-17F and/or IL-17A/F including combinations thereof;         and/or are directed against an interaction site (as defined         herein) on any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof (such as the ligand binding site);         which amino acid sequences (or ISV's) may be as further         described herein (and may for example be Nanobodies); as well as         polypeptides of the invention that comprise one or more of such         amino acid sequences (which may be as further described herein,         and may for example be bispecific and/or biparatopic         polypeptides as described herein), and nucleic acid sequences         that encode such amino acid sequences and polypeptides. Such         amino acid sequences and polypeptides do not include any         naturally occurring ligands.

In some other specific aspects, the invention provides:

-   -   amino acid sequences (and in particular, ISV's) of the invention         that are specific for any of IL-17A, IL-17F and/or IL-17A/F         including combinations thereof compared to IL-17B, IL-17C,         IL-17D, and/or IL-17E;         which amino acid sequences of the invention may be as further         described herein (and may for example be Nanobodies); as well as         polypeptides of the invention that comprise one or more of such         amino acid sequences (which may be as further described herein,         and may for example be bispecific and/or biparatopic         polypeptides as described herein), and nucleic acid sequences         that encode such amino acid sequences and polypeptides. Such         amino acid sequences and polypeptides do not include any         naturally occurring ligands.

Accordingly, some particularly preferred Nanobodies of the invention are Nanobodies which can bind (as further defined herein) to and/or are directed against to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof and which:

-   i) have at least 80% amino acid identity with at least one of the     amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1), in     which for the purposes of determining the degree of amino acid     identity, the amino acid residues that form the CDR sequences are     disregarded. In this respect, reference is also made to Table B-1,     which lists the framework 1 sequences (SEQ ID NOs: 126 to 196),     framework 2 sequences (SEQ ID NOs: 268 to 338) framework 3 sequences     (SEQ ID NOs: 410 to 480) and framework 4 sequences (SEQ ID NOs: 552     to 622) of the Nanobodies of SEQ ID NOs: 623 to 693 (see Table A-1)     (with respect to the amino acid residues at positions 1 to 4 and 27     to 30 of the framework 1 sequences, reference is also made to the     comments made below. Thus, for determining the degree of amino acid     identity, these residues are preferably disregarded);     and in which: -   ii) preferably one or more of the amino acid residues at positions     11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according to the Kabat     numbering are chosen from the Hallmark residues mentioned in Table     B-2 below.

In these Nanobodies, the CDR sequences are generally as further defined herein.

Again, such Nanobodies may be derived in any suitable manner and from any suitable source, and may for example be naturally occurring V_(HH) sequences (i.e. from a suitable species of Camelid) or synthetic or semi-synthetic amino acid sequences, including but not limited to “humanized” (as defined herein) Nanobodies, “camelized” (as defined herein) immunoglobulin sequences (and in particular camelized heavy chain variable domain sequences), as well as Nanobodies that have been obtained by techniques such as affinity maturation (for example, starting from synthetic, random or naturally occurring immunoglobulin sequences), CDR grafting, veneering, combining fragments derived from different immunoglobulin sequences, PCR assembly using overlapping primers, and similar techniques for engineering immunoglobulin sequences well known to the skilled person; or any suitable combination of any of the foregoing as further described herein. Also, when a Nanobody comprises a V_(HH) sequence, said Nanobody may be suitably humanized, as further described herein, so as to provide one or more further (partially or fully) humanized Nanobodies of the invention. Similarly, when a Nanobody comprises a synthetic or semi-synthetic sequence (such as a partially humanized sequence), said Nanobody may optionally be further suitably humanized, again as described herein, again so as to provide one or more further (partially or fully) humanized Nanobodies of the invention.

In particular, humanized Nanobodies may be amino acid sequences that are as generally defined for Nanobodies in the previous paragraphs, but in which at least one amino acid residue is present (and in particular, in at least one of the framework residues) that is and/or that corresponds to a humanizing substitution (as defined herein). Some preferred, but non-limiting humanizing substitutions (and suitable combinations thereof) will become clear to the skilled person based on the disclosure herein. In addition, or alternatively, other potentially useful humanizing substitutions can be ascertained by comparing the sequence of the framework regions of a naturally occurring V_(HH) sequence with the corresponding framework sequence of one or more closely related human V_(H) sequences, after which one or more of the potentially useful humanizing substitutions (or combinations thereof) thus determined can be introduced into said V_(HH) sequence (in any manner known per se, as further described herein) and the resulting humanized V_(HH) sequences can be tested for affinity for the target, for stability, for ease and level of expression, and/or for other desired properties. In this way, by means of a limited degree of trial and error, other suitable humanizing substitutions (or suitable combinations thereof) can be determined by the skilled person based on the disclosure herein. Also, based on the foregoing, (the framework regions of) a Nanobody may be partially humanized or fully humanized.

Thus, some other preferred Nanobodies of the invention are Nanobodies which can bind (as further defined herein) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof and which:

-   i) are a humanized variant of one of the amino acid sequences of SEQ     ID NOs: 623 to 693 (see Table A-1); and/or -   ii) have at least 80% amino acid identity with at least one of the     amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1), in     which for the purposes of determining the degree of amino acid     identity, the amino acid residues that form the CDR sequences are     disregarded;     and in which: -   i) preferably one or more of the amino acid residues at positions     11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according to the Kabat     numbering are chosen from the Hallmark residues mentioned in Table     B-2 below.

According to another specific aspect of the invention, the invention provides a number of stretches of amino acid residues (i.e. small peptides) that are particularly suited for binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. These stretches of amino acid residues may be present in, and/or may be incorporated into, an amino acid sequence of the invention, in particular in such a way that they form (part of) the antigen binding site of an amino acid sequence of the invention. As these stretches of amino acid residues were first generated as CDR sequences of heavy chain antibodies or V_(HH) sequences that were raised against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (or may be based on and/or derived from such CDR sequences, as further described herein), they will also generally be referred to herein as “CDR sequences” (i.e. as CDR1 sequences, CDR2 sequences and CDR3 sequences, respectively). It should however be noted that the invention in its broadest sense is not limited to a specific structural role or function that these stretches of amino acid residues may have in an amino acid sequence of the invention, as long as these stretches of amino acid residues allow the amino acid sequence of the invention to bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. Thus, generally, the invention in its broadest sense comprises any amino acid sequence that is capable of binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof and that comprises one or more CDR sequences as described herein, and in particular a suitable combination of two or more such CDR sequences, that are suitably linked to each other via one or more further amino acid sequences, such that the entire amino acid sequence forms a binding domain and/or binding unit that is capable of binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. It should however also be noted that the presence of only one of such CDR sequence in an amino acid sequence of the invention may by itself already be sufficient to provide an amino acid sequence of the invention that is capable of binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; reference is for example again made to the so-called “Expedite fragments” described in WO 03/050531 or subsequent filings.

Thus, in another specific, but non-limiting aspect, the amino acid sequence (or ISV) of the invention may be an amino acid sequence that comprises at least one amino acid sequence that is chosen from the group consisting of the CDR1 sequences, CDR2 sequences and CDR3 sequences that are described herein (or any suitable combination thereof). In particular, an amino acid sequence of the invention may be an amino acid sequence that comprises at least one antigen binding site, wherein said antigen binding site comprises at least one amino acid sequence that is chosen from the group consisting of the CDR1 sequences, CDR2 sequences and CDR3 sequences that are described herein (or any suitable combination thereof).

Generally, in this aspect of the invention, the amino acid sequence (or ISV) of the invention may be any amino acid sequence that comprises at least one stretch of amino acid residues, in which said stretch of amino acid residues has an amino acid sequence that corresponds to the sequence of at least one of the CDR sequences described herein. Such an amino acid sequence may or may not comprise an immunoglobulin fold. For example, and without limitation, such an amino acid sequence may be a suitable fragment of an immunoglobulin sequence that comprises at least one such CDR sequence, but that is not large enough to form a (complete) immunoglobulin fold (reference is for example again made to the “Expedite fragments” described in WO 03/050531). Alternatively, such an amino acid sequence may be a suitable “protein scaffold” that comprises least one stretch of amino acid residues that corresponds to such a CDR sequence (i.e. as part of its antigen binding site). Suitable scaffolds for presenting amino acid sequences will be clear to the skilled person, and for example comprise, without limitation, to binding scaffolds based on or derived from immunoglobulins (i.e. other than the immunoglobulin sequences already described herein), protein scaffolds derived from protein A domains (such as Affibodies™), tendamistat, fibronectin, lipocalin, CTLA-4, T-cell receptors, designed ankyrin repeats, avimers and PDZ domains (Binz et al., Nat. Biotech 2005, 23:1257), and binding moieties based on DNA or RNA including but not limited to DNA or RNA aptamers (Ulrich et al., Comb Chem High Throughput Screen 2006 9(8):619-32).

Again, any amino acid sequence (or ISV) of the invention that comprises one or more of these CDR sequences is preferably such that it can specifically bind (as defined herein) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and more in particular such that it can bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein), that is as defined herein.

More in particular, the amino acid sequences according to this aspect of the invention may be any amino acid sequence (or ISV) that comprises at least one antigen binding site, wherein said antigen binding site comprises at least two amino acid sequences that are chosen from the group consisting of the CDR1 sequences described herein, the CDR2 sequences described herein and the CDR3 sequences described herein, such that (i) when the first amino acid sequence is chosen from the CDR1 sequences described herein, the second amino acid sequence is chosen from the CDR2 sequences described herein or the CDR3 sequences described herein; (ii) when the first amino acid sequence is chosen from the CDR2 sequences described herein, the second amino acid sequence is chosen from the CDR1 sequences described herein or the CDR3 sequences described herein; or (iii) when the first amino acid sequence is chosen from the CDR3 sequences described herein, the second amino acid sequence is chosen from the CDR1 sequences described herein or the CDR3 sequences described herein.

Even more in particular, the amino acid sequences of the invention may be amino acid sequences (or ISV's) that comprise at least one antigen binding site, wherein said antigen binding site comprises at least three amino acid sequences that are chosen from the group consisting of the CDR1 sequences described herein, the CDR2 sequences described herein and the CDR3 sequences described herein, such that the first amino acid sequence is chosen from the CDR1 sequences described herein, the second amino acid sequence is chosen from the CDR2 sequences described herein, and the third amino acid sequence is chosen from the CDR3 sequences described herein. Preferred combinations of CDR1, CDR2 and CDR3 sequences will become clear from the further description herein. As will be clear to the skilled person, such an amino acid sequence is preferably an immunoglobulin sequence (as further described herein), but it may for example also be any other amino acid sequence that comprises a suitable scaffold for presenting said CDR sequences.

Thus, in one specific, but non-limiting aspect, the invention relates to an amino acid sequence (and in particular, an ISV) directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, that comprises one or more stretches of amino acid residues chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267; -   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267; -   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267; -   d) the amino acid sequences of SEQ ID NOs: 339 to 409; -   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409; -   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409; -   g) the amino acid sequences of SEQ ID NOs: 481 to 551; -   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551; -   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;     or any suitable combination thereof.

When an amino acid sequence (or ISV) of the invention contains one or more amino acid sequences according to b) and/or c):

-   i) any amino acid substitution in such an amino acid sequence     according to b) and/or c) is preferably, and compared to the     corresponding amino acid sequence according to a), a conservative     amino acid substitution, (as defined herein);     and/or -   ii) the amino acid sequence according to b) and/or c) preferably     only contains amino acid substitutions, and no amino acid deletions     or insertions, compared to the corresponding amino acid sequence     according to a);     and/or -   iii) the amino acid sequence according to b) and/or c) may be an     amino acid sequence that is derived from an amino acid sequence     according to a) by means of affinity maturation using one or more     techniques of affinity maturation known per se.

Similarly, when an amino acid sequence of the invention contains one or more amino acid sequences according to e) and/or f):

-   i) any amino acid substitution in such an amino acid sequence     according to e) and/or f) is preferably, and compared to the     corresponding amino acid sequence according to d), a conservative     amino acid substitution, (as defined herein);     and/or -   ii) the amino acid sequence according to e) and/or f) preferably     only contains amino acid substitutions, and no amino acid deletions     or insertions, compared to the corresponding amino acid sequence     according to d);     and/or -   iii) the amino acid sequence according to e) and/or f) may be an     amino acid sequence that is derived from an amino acid sequence     according to d) by means of affinity maturation using one or more     techniques of affinity maturation known per se.

Also, similarly, when an amino acid sequence of the invention contains one or more amino acid sequences according to h) and/or i):

-   i) any amino acid substitution in such an amino acid sequence     according to h) and/or i) is preferably, and compared to the     corresponding amino acid sequence according to g), a conservative     amino acid substitution, (as defined herein);     and/or -   ii) the amino acid sequence according to h) and/or i) preferably     only contains amino acid substitutions, and no amino acid deletions     or insertions, compared to the corresponding amino acid sequence     according to g);     and/or -   iii) the amino acid sequence according to h) and/or i) may be an     amino acid sequence that is derived from an amino acid sequence     according to g) by means of affinity maturation using one or more     techniques of affinity maturation known per se.

It should be understood that the last preceding paragraphs also generally apply to any amino acid sequences of the invention that comprise one or more amino acid sequences according to b), c), e), f), h) or i), respectively.

In this specific aspect, the amino acid sequence (or ISV) preferably comprises one or more stretches of amino acid residues chosen from the group consisting of:

-   i) the amino acid sequences of SEQ ID NOs: 197 to 267; -   ii) the amino acid sequences of SEQ ID NOs: 339 to 409; and -   iii) the amino acid sequences of SEQ ID NOs: 481 to 551;     or any suitable combination thereof.

Also, preferably, in such an amino acid sequence, at least one of said stretches of amino acid residues forms part of the antigen binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F, including combinations thereof.

In a more specific, but again non-limiting aspect, the invention relates to an amino acid sequence (or ISV) directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, that comprises two or more stretches of amino acid residues chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267; -   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267; -   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267; -   d) the amino acid sequences of SEQ ID NOs: 339 to 409; -   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409; -   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409; -   g) die amino acid sequences of SEQ ID NOs: 481 to 551; -   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551; -   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;     such that (i) when the first stretch of amino acid residues     corresponds to one of the amino acid sequences according to a), b)     or c), the second stretch of amino acid residues corresponds to one     of the amino acid sequences according to d), e), f), g), h) or     i); (ii) when the first stretch of amino acid residues corresponds     to one of the amino acid sequences according to d), e) or f), the     second stretch of amino acid residues corresponds to one of the     amino acid sequences according to a), b), c), g), h) or i); or (iii)     when the first stretch of amino acid residues corresponds to one of     the amino acid sequences according to g), h) or i), the second     stretch of amino acid residues corresponds to one of the amino acid     sequences according to a), b), c), d), e) or f).

In this specific aspect, the amino acid sequence preferably comprises two or more stretches of amino acid residues chosen from the group consisting of:

-   i) the amino acid sequences of SEQ ID NOs: 197 to 267; -   ii) the amino acid sequences of SEQ ID NOs: 339 to 409; and -   iii) the amino acid sequences of SEQ ID NOs: 481 to 551;     such that, (i) when the first stretch of amino acid residues     corresponds to one of the amino acid sequences of SEQ ID NOs: 197 to     267, the second stretch of amino acid residues corresponds to one of     the amino acid sequences of SEQ ID NOs: 339 to 409 or of SEQ ID NOs:     481 to 551; (ii) when the first stretch of amino acid residues     corresponds to one of the amino acid sequences of SEQ ID NOs: 339 to     409, the second stretch of amino acid residues corresponds to one of     the amino acid sequences of SEQ ID NOs: 197 to 267 or of SEQ ID NOs:     481 to 551; or (iii) when the first stretch of amino acid residues     corresponds to one of the amino acid sequences of SEQ ID NOs: 481 to     551, the second stretch of amino acid residues corresponds to one of     the amino acid sequences of SEQ ID NOs: 197 to 267 or of SEQ ID NOs:     339 to 409.

Also, in such an amino acid sequence, the at least two stretches of amino acid residues again preferably form part of the antigen binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof.

In an even more specific, but non-limiting aspect, the invention relates to an amino acid sequence (or ISV) directed against any of IL-I 7A, IL-17F and/or IL-17A/F including combinations thereof, that comprises three or more stretches of amino acid residues, in which the first stretch of amino acid residues is chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267; -   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267; -   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;     the second stretch of amino acid residues is chosen from the group     consisting of: -   d) the amino acid sequences of SEQ ID NOs: 339 to 409; -   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409; -   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;     and the third stretch of amino acid residues is chosen from the     group consisting of: -   g) the amino acid sequences of SEQ ID NOs: 481 to 551; -   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551; -   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551.

Preferably, in this specific aspect, the first stretch of amino acid residues is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 197 to 267; the second stretch of amino acid residues is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 339 to 409; and the third stretch of amino acid residues is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 481 to 551.

Again, preferably, in such an amino acid sequence, the at least three stretches of amino acid residues forms part of the antigen binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof.

Preferred combinations of such stretches of amino acid sequences will become clear from the further disclosure herein.

Preferably, in such amino acid sequences the CDR sequences have at least 70% amino acid identity, preferably at least 80% amino acid identity, more preferably at least 90% amino acid identity, such as 95% amino acid identity or more or even essentially 100% amino acid identity with the CDR sequences of at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1). This degree of amino acid identity can for example be determined by determining the degree of amino acid identity (in a manner described herein) between said amino acid sequence and one or more of the sequences of SEQ ID NOs: 623 to 693 (see Table A-1), in which the amino acid residues that form the framework regions are disregarded. Also, such amino acid sequences of the invention can be as further described herein.

Also, such amino acid sequences are preferably such that they can specifically bind (as defined herein) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; and more in particular bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein.

When the amino acid sequence (or ISV) of the invention essentially consists of 4 framework regions (FR1 to FR4, respectively) and 3 complementarity determining regions (CDR1 to CDR3, respectively), the amino acid sequence of the invention is preferably such that:

-   -   CDR1 is chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267;

-   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;

-   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;     and/or     -   CDR2 is chosen from the group consisting of:

-   d) the amino acid sequences of SEQ ID NOs: 339 to 409;

-   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;

-   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;     and/or     -   CDR3 is chosen from the group consisting of:

-   g) the amino acid sequences of SEQ ID NOs: 481 to 551;

-   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;

-   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551.

In particular, such an amino acid sequence (or ISV) of the invention may be such that CDR1 is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 197 to 267; and/or CDR2 is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 339 to 409; and/or CDR3 is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 481 to 551.

In particular, when the amino acid sequence (or ISV) of the invention essentially consists of 4 framework regions (FR1 to FR4, respectively) and 3 complementarity determining regions (CDR1 to CDR3, respectively), the amino acid sequence of the invention is preferably such that:

-   -   CDR1 is chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267;

-   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;

-   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;     and     -   CDR2 is chosen from the group consisting of:

-   d) the amino acid sequences of SEQ ID NOs: 339 to 409;

-   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;

-   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;     and     -   CDR3 is chosen from the group consisting of:

-   g) the amino acid sequences of SEQ ID NOs: 481 to 551;

-   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;

-   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551; or any suitable fragment of such an amino acid sequence

In particular, such an amino acid sequence (or ISV) of the invention may be such that CDR1 is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 197 to 267; and CDR2 is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 339 to 409; and CDR3 is chosen from the group consisting of the amino acid sequences of SEQ ID NOs: 481 to 551.

Again, preferred combinations of CDR sequences will become clear from the further description herein.

Also, such amino acid sequences are preferably such that they can specifically bind (as defined herein) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; and more in particular bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein.

In one preferred, but non-limiting aspect, the invention relates to an amino acid sequence (or ISV) that essentially consists of 4 framework regions (FR1 to FR4, respectively) and 3 complementarity determining regions (CDR1 to CDR3, respectively), in which the CDR sequences of said amino acid sequence have at least 70% amino acid identity, preferably at least 80% amino acid identity, more preferably at least 90% amino acid identity, such as 95% amino acid identity or more or even essentially 100% amino acid identity with the CDR sequences of at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1). This degree of amino acid identity can for example be determined by determining the degree of amino acid identity (in a manner described herein) between said amino acid sequence and one or more of the sequences of SEQ ID NOs: 623 to 693 (see Table A-1), in which the amino acid residues that form the framework regions are disregarded. Such amino acid sequences of the invention can be as further described herein.

In such an amino acid sequence of the invention, the framework sequences may be any suitable framework sequences, and examples of suitable framework sequences will be clear to the skilled person, for example on the basis the standard handbooks and the further disclosure and prior art mentioned herein.

The framework sequences are preferably (a suitable combination of) immunoglobulin framework sequences or framework sequences that have been derived from immunoglobulin framework sequences (for example, by humanization or camelization). For example, the framework sequences may be framework sequences derived from a light chain variable domain (e.g. a V_(L)-sequence) and/or from a heavy chain variable domain (e.g. a V_(H)-sequence). In one particularly preferred aspect, the framework sequences are either framework sequences that have been derived from a V_(HH)-sequence (in which said framework sequences may optionally have been partially or fully humanized) or are conventional V_(H) sequences that have been camelized (as defined herein).

The framework sequences are preferably such that the amino acid sequence (or ISV) of the invention is a domain antibody (or an amino acid sequence that is suitable for use as a domain antibody); is a single domain antibody (or an amino acid sequence that is suitable for use as a single domain antibody); is a “dAb” (or an amino acid sequence that is suitable for use as a dAb); or is a Nanobody (including but not limited to V_(HH) sequence). Again, suitable framework sequences will be clear to the skilled person, for example on the basis the standard handbooks and the further disclosure and prior art mentioned herein.

In particular, the framework sequences present in the amino acid sequences of the invention may contain one or more of Hallmark residues (as defined herein), such that the amino acid sequence of the invention is a Nanobody. Some preferred, but non-limiting examples of (suitable combinations of) such framework sequences will become clear from the further disclosure herein.

Again, as generally described herein for the amino acid sequences of the invention, it is also possible to use suitable fragments (or combinations of fragments) of any of the foregoing, such as fragments that contain one or more CDR sequences, suitably flanked by and/or linked via one or more framework sequences (for example, in the same order as these CDR's and framework sequences may occur in the full-sized immunoglobulin sequence from which the fragment has been derived). Such fragments may also again be such that they comprise or can form an immunoglobulin fold, or alternatively be such that they do not comprise or cannot form an immunoglobulin fold.

In one specific aspect, such a fragment comprises a single CDR sequence as described herein (and in particular a CDR3 sequence), that is flanked on each side by (part of) a framework sequence (and in particular, part of the framework sequence(s) that, in the immunoglobulin sequence from which the fragment is derived, are adjacent to said CDR sequence. For example, a CDR3 sequence may be preceded by (part of) a FR3 sequence and followed by (part of) a FR4 sequence). Such a fragment may also contain a disulphide bridge, and in particular a disulphide bridge that links the two framework regions that precede and follow the CDR sequence, respectively (for the purpose of forming such a disulphide bridge, cysteine residues that naturally occur in said framework regions may be used, or alternatively cysteine residues may be synthetically added to or introduced into said framework regions). For a further description of these “Expedite fragments”, reference is again made to WO 03/050531, as well as WO2008/068280 (see also PCT/EP2009/054533).

In another aspect, the invention relates to a compound or construct, and in particular a protein or polypeptide (also referred to herein as a “compound of the invention” or “polypeptide of the invention”, respectively) that comprises or essentially consists of one or more amino acid sequences (or ISV's) of the invention (or suitable fragments thereof), and optionally further comprises one or more other groups, residues, moieties or binding units. As will become clear to the skilled person from the further disclosure herein, such further groups, residues, moieties, binding units or amino acid sequences may or may not provide further functionality to the amino acid sequence of the invention (and/or to the compound or construct in which it is present) and may or may not modify the properties of the amino acid sequence of the invention.

For example, such further groups, residues, moieties or binding units may be one or more additional amino acid sequences, such that the compound or construct is a (fusion) protein or (fusion) polypeptide. In a preferred but non-limiting aspect, said one or more other groups, residues, moieties or binding units are immunoglobulin sequences. Even more preferably, said one or more other groups, residues, moieties or binding units are chosen from the group consisting of domain antibodies, amino acid sequences that are suitable for use as a domain antibody, single domain antibodies, amino acid sequences that are suitable for use as a single domain antibody, “dAb”'s, amino acid sequences that are suitable for use as a dAb, or Nanobodies.

Alternatively, such groups, residues, moieties or binding units may for example be chemical groups, residues, moieties, which may or may not by themselves be biologically and/or pharmacologically active. For example, and without limitation, such groups may be linked to the one or more amino acid sequences of the invention so as to provide a “derivative” of an amino acid sequence or polypeptide of the invention, as further described herein.

Also within the scope of the present invention are compounds or constructs, that comprises or essentially consists of one or more derivatives as described herein, and optionally further comprises one or more other groups, residues, moieties or binding units, optionally linked via one or more linkers. Preferably, said one or more other groups, residues, moieties or binding units are amino acid sequences.

In the compounds or constructs described above, the one or more amino acid sequences of the invention and the one or more groups, residues, moieties or binding units may be linked directly to each other and/or via one or more suitable linkers or spacers. For example, when the one or more groups, residues, moieties or binding units are amino acid sequences, the linkers may also be amino acid sequences, so that the resulting compound or construct is a fusion (protein) or fusion (polypeptide).

As will be clear from the further description above and herein, this means that the amino acid sequences (or ISV's) of the invention can be used as “building blocks” to form polypeptides of the invention, i.e. by suitably combining them with each other, one or more with other amino acid sequences of the invention and/or with one or more other groups, residues, moieties or binding units, in order to form compounds or constructs as described herein (such as, without limitations, the biparatopic. bi/multivalent and bi/multispecific polypeptides of the invention described herein) which combine within one molecule one or more desired properties or biological functions.

The compounds or polypeptides of the invention can generally be prepared by a method which comprises at least one step of suitably linking the one or more amino acid sequences (or ISV's) of the invention to the one or more further groups, residues, moieties or binding units, optionally via the one or more suitable linkers, so as to provide the compound or polypeptide of the invention. Polypeptides of the invention can also be prepared by a method which generally comprises at least the steps of providing a nucleic acid that encodes a polypeptide of the invention, expressing said nucleic acid in a suitable manner, and recovering the expressed polypeptide of the invention. Such methods can be performed in a manner known per se, which will be clear to the skilled person, for example on the basis of the methods and techniques further described herein.

The process of designing/selecting and/or preparing a compound or polypeptide of the invention, starting from an amino acid sequence (or ISV) of the invention, is also referred to herein as “formatting” said amino acid sequence of the invention; and an amino acid of the invention that is made part of a compound or polypeptide of the invention is said to be “formatted” or to be “in the format of” said compound or polypeptide of the invention. Examples of ways in which an amino acid sequence of the invention can be formatted and examples of such formats will be clear to the skilled person based on the disclosure herein; and such formatted amino acid sequences form a further aspect of the invention.

In one specific aspect of the invention, a compound of the invention or a polypeptide of the invention may have an increased half-life, compared to the corresponding amino acid sequence of the invention. Some preferred, but non-limiting examples of such compounds and polypeptides will become clear to the skilled person based on the further disclosure herein, and for example comprise amino acid sequences or polypeptides of the invention that have been chemically modified to increase the half-life thereof (for example, by means of pegylation); amino acid sequences of the invention that comprise at least one additional binding site for binding to a serum protein (such as serum albumin); or polypeptides of the invention that comprise at least one amino acid sequence of the invention that is linked to at least one moiety (and in particular at least one amino acid sequence) that increases the half-life of the amino acid sequence of the invention. Examples of polypeptides of the invention that comprise such half-life extending moieties or amino acid sequences will become clear to the skilled person based on the further disclosure herein; and for example include, without limitation, polypeptides in which the one or more amino acid sequences of the invention are suitable linked to one or more serum proteins or fragments thereof (such as (human) serum albumin or suitable fragments thereof) or to one or more binding units that can bind to serum proteins (such as, for example, domain antibodies, amino acid sequences that are suitable for use as a domain antibody, single domain antibodies, amino acid sequences that are suitable for use as a single domain antibody, “dAb”'s, amino acid sequences that are suitable for use as a dAb, or Nanobodies that can bind to serum proteins such as serum albumin (such as human serum albumin), serum immunoglobulins such as IgG, or transferrine; reference is made to the further description and references mentioned herein); polypeptides in which an amino acid sequence of the invention is linked to an Fc portion (such as a human Fc) or a suitable part or fragment thereof; or polypeptides in which the one or more amino acid sequences of the invention are suitable linked to one or more small proteins or peptides that can bind to serum proteins.

For example, a compound of the invention or a polypeptide of the invention may comprise one or more amino acid sequences of the invention (which may be as further described herein; and when two or more amino acid sequences of the invention are present, they may be the same or different) and one or more (usually only one, which may be a tandem repeat in case of a serum-albumin binding peptide) serum albumin binding peptides or serum albumin binding domains (and optionally one or more other groups, residues, moieties or binding units as further described herein). In such compounds or polypeptides of the invention, the “serum albumin binding peptide or binding domain” may be any suitable serum-albumin binding peptide or binding domain capable of increasing the half-life of the construct (compared to the same construct without the serum-albumin binding peptide or binding domain), and may in particular be serum albumin binding peptides as described in WO 2008/068280 by applicant (and in particular WO 2009/127691 and the non-prepublished U.S. application 61/301,819, both by applicant), or a serum-albumin binding immunoglobulin single variable domain (such as a serum-albumin binding Nanobody; for example Alb-1 or a humanized version of Alb-1 such as Alb-8, for which reference is for example made to WO 06/122787). Also Alb11 can be used. In one embodiment Alb11 has the amino acid sequence SEQ ID NO 841 or SEQ ID NO 842.

With respect to half-life, it should be noted that in the invention, and by using the various half-life extending techniques described herein (for example, by suitably choosing a serum-albumin binding peptide according to WO 2008/068280, WO 2009/127691 and/or the non-prepublished U.S. application 61/301,819), the half-life of a construct or polypeptide of the invention can (and preferably is) suitably “tailored” for the intended (therapeutic and/or diagnostic) application and/or to obtain the best balance between the desired therapeutic and/or pharmacological effect and possible undesired side-effects.

Generally, the compounds or polypeptides of the invention with increased half-life preferably have a half-life that is at least 1.5 times, preferably at least 2 times, such as at least 5 times, for example at least 10 times or more than 20 times, greater than the half-life of the corresponding amino acid sequence of the invention per se. For example, the compounds or polypeptides of the invention with increased half-life may have a half-life that is increased with more than 1 hours, preferably more than 2 hours, more preferably more than 6 hours, such as more than 12 hours, or even more than 24, 48 or 72 hours, compared to the corresponding amino acid sequence of the invention per se.

In a preferred, but non-limiting aspect of the invention, such compounds or polypeptides of the invention have a serum half-life that is increased with more than 1 hours, preferably more than 2 hours, more preferably more than 6 hours, such as more than 12 hours, or even more than 24, 48 or 72 hours, compared to the corresponding amino acid sequence of the invention per se.

In another preferred, but non-limiting aspect of the invention, such compounds or polypeptides of the invention exhibit a serum half-life in human of at least about 12 hours, preferably at least 24 hours, more preferably at least 48 hours, even more preferably at least 72 hours or more. For example, compounds or polypeptides of the invention may have a half-life of at least 5 days (such as about 5 to 10 days), preferably at least 9 days (such as about 9 to 14 days), more preferably at least about 10 days (such as about 10 to 15 days), or at least about 11 days (such as about 11 to 16 days), more preferably at least about 12 days (such as about 12 to 18 days or more), or more than 14 days (such as about 14 to 19 days).

FIG. 6 and SEQ ID NOs: 710 to 759 as well as FIG. 8 and SEQ ID NOs: 826 to 837 give some preferred, but non-limiting examples of polypeptides of the invention, and each of these forms a further aspect of the present invention. All of these polypeptides contain an albumin-binding Nanobody (Alb-8, which is also referred to herein as Alb-11) according to WO 06/122787 in order to provide increase half-life. The polypeptides from FIG. 8 and SEQ ID NOs: 826 to 837 are based on humanized and/or sequenced-optimized amino acid sequences of the invention as building blocks. Based on the further disclosure herein, the skilled person will be able to provide other compounds, constructs and/or polypeptides of the invention, based on the same or other building blocks described herein, and/or comprising another moiety, binding domain, binding unit or peptide for providing increased half-life.

In another aspect, the invention relates to a nucleic acid that encodes an amino acid sequence (or ISV) of the invention or a polypeptide of the invention (or a suitable fragment thereof). Such a nucleic acid will also be referred to herein as a “nucleic acid of the invention” and may for example be in the form of a genetic construct, as further described herein. In a further preferred aspect, the amino acid of the invention (or ISV) is considered a building block.

In another aspect, the invention relates to a host or host cell that expresses (or that under suitable circumstances is capable of expressing) an amino acid sequence of the invention and/or a polypeptide of the invention; and/or that contains a nucleic acid of the invention. Some preferred but non-limiting examples of such hosts or host cells will become clear from the further description herein.

The invention further relates to a product or composition containing or comprising at least one amino acid sequence (or ISV) of the invention, at least one polypeptide of the invention (or a suitable fragment thereof) and/or at least one nucleic acid of the invention, and optionally one or more further components of such compositions known per se, i.e. depending on the intended use of the composition. Such a product or composition may for example be a pharmaceutical composition (as described herein), a veterinary composition or a product or composition for diagnostic use (as also described herein). Some preferred but non-limiting examples of such products or compositions will become clear from the further description herein.

The invention also relates to the use of an amino acid sequence (or ISV), Nanobody or polypeptide of the invention, or of a composition comprising the same, in (methods or compositions for) modulating any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, either in vitro (e.g. in an in vitro or cellular assay) or in vivo (e.g. in an a single cell or in a multicellular organism, and in particular in a mammal, and more in particular in a human being, such as in a human being that is at risk of or suffers from immune related diseases and disorders of the invention).

The invention also relates to methods for modulating IL-17A, IL-17F and/or IL-17A/F including combinations thereof, either in vitro (e.g. in an in vitro or cellular assay) or in vivo (e.g. in an a single cell or multicellular organism, and in particular in a mammal, and more in particular in a human being, such as in a human being that is at risk of or suffers from a immune related diseases and disorders of the invention), which method comprises at least the step of contacting IL-17A, IL-17F and/or IL-17A/F including combinations thereof with at least one amino acid sequence (or ISV), Nanobody or polypeptide of the invention, or with a composition comprising the same, in a manner and in an amount suitable to modulate IL-17A, IL-17F and/or IL-17A/F including combinations thereof, with at least one amino acid sequence (or ISV), Nanobody or polypeptide of the invention.

The invention also relates to the use of an one amino acid sequence (or ISV), Nanobody or polypeptide of the invention in the preparation of a composition (such as, without limitation, a pharmaceutical composition or preparation as further described herein) for modulating IL-17A, IL-17F and/or IL-17A/F including combinations thereof, either in vitro (e.g. in an in vitro or cellular assay) or in vivo (e.g. in an a single cell or multicellular organism, and in particular in a mammal, and more in particular in a human being, such as in a human being that is at risk of or suffers from the immune related diseases and disorders of the invention).

In the context of the present invention, “modulating” or “to modulate” generally means either reducing or inhibiting the activity of, or alternatively increasing the activity of, IL-17A, IL-17F and/or IL-17A/F including combinations thereof, as measured using a suitable in vitro, cellular or in vivo assay (such as those mentioned herein). In particular, “modulating” or “to modulate” may mean either reducing or inhibiting the activity of, or alternatively increasing the activity of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, as measured using a suitable in vitro, cellular or in vivo assay (such as those mentioned herein), by at least 1%, preferably at least 5%, such as at least 10% or at least 25%, for example by at least 50%, at least 60%, at least 70%, at least 80%, or 90% or more, compared to activity of IL-17A, IL-17F and/or IL-17A/F including combinations thereof in the same assay under the same conditions but without the presence of the amino acid sequence, Nanobody or polypeptide of the invention.

As will be clear to the skilled person, “modulating” may also involve effecting a change (which may either be an increase or a descrease) in affinity, avidity, specificity and/or selectivity of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof for one or more of its targets, ligands or substrates; and/or effecting a change (which may either be an increase or a decrease) in the sensitivity of IL-17A, IL-17F and/or IL-17A/F including combinations thereof for one or more conditions in the medium or surroundings in which IL-17A, IL-17F and/or IL-17A/F including combinations thereof is present (such as pH, ion strength, the presence of co-factors, etc.), compared to the same conditions but without the presence of the amino acid sequence (or ISV), Nanobody or polypeptide of the invention. As will be clear to the skilled person, this may again be determined in any suitable manner and/or using any suitable assay known per se, such as the assays described herein or in the prior art cited herein.

“Modulating” may also mean effecting a change (i.e. an activity as an agonist or as an antagonist, respectively) with respect to one or more biological or physiological mechanisms, effects, responses, functions, pathways or activities in which IL-17A, IL-17F and/or IL-17A/F including combinations thereof (or in which its substrate(s), ligand(s) or pathway(s) are involved, such as its signalling pathway or metabolic pathway and their associated biological or physiological effects) is involved. Again, as will be clear to the skilled person, such an action as an agonist or an antagonist may be determined in any suitable manner and/or using any suitable (in vitro and usually cellular or in assay) assay known per se, such as the assays described herein or in the prior art cited herein. In particular, an action as an agonist or antagonist may be such that an intended biological or physiological activity is increased or decreased, respectively, by at least 1%, preferably at least 5%, such as at least 10% or at least 25%, for example by at least 50%, at least 60%, at least 70%, at least 80%, or 90% or more, compared to the biological or physiological activity in the same assay under the same conditions but without the presence of the amino acid sequence (or ISV), Nanobody or polypeptide of the invention.

Modulating may for example involve reducing or inhibiting the binding of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof to one of its substrates or ligands and/or competing with a natural ligand, substrate for binding to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. Modulating may also involve activating any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or the mechanism or pathway in which it is involved. Modulating may be reversible or irreversible, but for pharmaceutical and pharmacological purposes will usually be in a reversible manner.

The invention further relates to methods for preparing or generating the amino acid sequences (or ISV), polypeptides, nucleic acids, host cells, products and compositions described herein. Some preferred but non-limiting examples of such methods will become clear from the further description herein.

Generally, these methods may comprise the steps of:

-   a) providing a set, collection or library of amino acid sequences;     and -   b) screening said set, collection or library of amino acid sequences     for amino acid sequences that can bind to and/or have affinity for     any of IL-17A, IL-17F and/or IL-17A/F including combinations     thereof;     and -   c) isolating the amino acid sequence(s) that can bind to and/or have     affinity for any of IL-17A, 1L-17F and/or IL-17A/F including     combinations thereof.

In such a method, the set, collection or library of amino acid sequences may be any suitable set, collection or library of amino acid sequences. For example, the set, collection or library of amino acid sequences may be a set, collection or library of immunoglobulin sequences (as described herein), such as a naive set, collection or library of immunoglobulin sequences; a synthetic or semi-synthetic set, collection or library of immunoglobulin sequences; and/or a set, collection or library of immunoglobulin sequences that have been subjected to affinity maturation.

Also, in such a method, the set, collection or library of amino acid sequences may be a set, collection or library of heavy chain variable domains (such as V_(H) domains or V_(HH) domains) or of light chain variable domains. For example, the set, collection or library of amino acid sequences may be a set, collection or library of domain antibodies or single domain antibodies or ISVs, or may be a set, collection or library of amino acid sequences that are capable of functioning as a domain antibody or single domain antibody or ISV.

In a preferred aspect of this method, the set, collection or library of amino acid sequences may be an immune set, collection or library of immunoglobulin sequences, for example derived from a mammal that has been suitably immunized with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or with a suitable antigenic determinant based thereon or derived therefrom, such as an antigenic part, fragment, region, domain, loop or other epitope thereof. In one particular aspect, said antigenic determinant may be an extracellular part, region, domain, loop or other extracellular epitope(s).

In the above methods, the set, collection or library of amino acid sequences may be displayed on a phage, phagemid, ribosome or suitable micro-organism (such as yeast), such as to facilitate screening. Suitable methods, techniques and host organisms for displaying and screening (a set, collection or library of) amino acid sequences will be clear to the person skilled in the art, for example on the basis of the further disclosure herein. Reference is also made to the review by Hoogenboom in Nature Biotechnology, 23, 9, 1105-1116 (2005).

In another aspect, the method for generating amino acid sequences comprises at least the steps of:

-   a) providing a collection or sample of cells expressing amino acid     sequences; -   b) screening said collection or sample of cells for cells that     express an amino acid sequence that can bind to and/or have affinity     for any of 1L-17A, IL-17F and/or IL-17A/F including combinations     thereof;     and -   c) either (i) isolating said amino acid sequence; or (ii) isolating     from said cell a nucleic acid sequence that encodes said amino acid     sequence, followed by expressing said amino acid sequence.

For example, when the desired amino acid sequence is an immunoglobulin sequence, the collection or sample of cells may for example be a collection or sample of B-cells. Also, in this method, the sample of cells may be derived from a mammal that has been suitably immunized with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or with a suitable antigenic determinant based thereon or derived therefrom, such as an antigenic part, fragment, region, domain, loop or other epitope thereof. In one particular aspect, said antigenic determinant may be an extracellular part, region, domain, loop or other extracellular epitope(s).

The above method may be performed in any suitable manner, as will be clear to the skilled person. Reference is for example made to EP 0 542 810, WO 05/19824, WO 04/051268 and WO 04/106377. The screening of step b) is preferably performed using a flow cytometry technique such as FACS. For this, reference is for example made to Lieby et al., Blood, Vol. 97, No. 12, 3820 (2001).

In another aspect, the method for generating an amino acid sequence directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof may comprise at least the steps of:

-   a) providing a set, collection or library of nucleic acid sequences     encoding amino acid sequences; -   b) screening said set, collection or library of nucleic acid     sequences for nucleic acid sequences that encode an amino acid     sequence that can bind to and/or has affinity for any of IL-17A,     IL-17F and/or IL-17A/F including combinations thereof;     and -   c) isolating said nucleic acid sequence, followed by expressing said     amino acid sequence.

In such a method, the set, collection or library of nucleic acid sequences encoding amino acid sequences may for example be a set, collection or library of nucleic acid sequences encoding a naïve set, collection or library of immunoglobulin sequences; a set, collection or library of nucleic acid sequences encoding a synthetic or semi-synthetic set, collection or library of immunoglobulin sequences; and/or a set, collection or library of nucleic acid sequences encoding a set, collection or library of immunoglobulin sequences that have been subjected to affinity maturation.

Also, in such a method, the set, collection or library of nucleic acid sequences may encode a set, collection or library of heavy chain variable domains (such as V_(H) domains or V_(HH) domains) or of light chain variable domains. For example, the set, collection or library of nucleic acid sequences may encode a set, collection or library of domain antibodies or single domain antibodies, or a set, collection or library of amino acid sequences that are capable of functioning as a domain antibody or single domain antibody.

In a preferred aspect of this method, the set, collection or library of nucleic acid sequences may be an immune set, collection or library of nucleic acid sequences, for example derived from a mammal that has been suitably immunized with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or with a suitable antigenic determinant based thereon or derived therefrom, such as an antigenic part, fragment, region, domain, loop or other epitope thereof. In one particular aspect, said antigenic determinant may be an extracellular part, region, domain, loop or other extracellular epitope(s).

The set, collection or library of nucleic acid sequences may for example encode an immune set, collection or library of heavy chain variable domains or of light chain variable domains. In one specific aspect, the set, collection or library of nucleotide sequences may encode a set, collection or library of V_(HH) sequences.

In the above methods, the set, collection or library of nucleotide sequences may be displayed on a phage, phagemid, ribosome or suitable micro-organism (such as yeast), such as to facilitate screening. Suitable methods, techniques and host organisms for displaying and screening (a set, collection or library of) nucleotide sequences encoding amino acid sequences will be clear to the person skilled in the art, for example on the basis of the further disclosure herein. Reference is also made to the review by Hoogenboom in Nature Biotechnology, 23, 9, 1105-1116 (2005).

In another aspect, the method for generating an amino acid sequence directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof may comprise at least the steps of:

-   a) providing a set, collection or library of nucleic acid sequences     encoding amino acid sequences; -   b) screening said set, collection or library of nucleic acid     sequences for nucleic acid sequences that encode an amino acid     sequence that can bind to and/or has affinity for any of IL-17A,     IL-17F and/or IL-17A/F including combinations thereof and that is     cross-blocked or is cross blocking a Nanobody of the invention, e.g.     SEQ ID NO: 623 to 693 (Table A-1), or a humanized Nanobody of the     invention, or a polypeptide or construct of the invention; and -   c) isolating said nucleic acid sequence, followed by expressing said     amino acid sequence.

The invention also relates to amino acid sequences that are obtained by the above methods, or alternatively by a method that comprises one of the above methods and in addition at least the steps of determining the nucleotide sequence or amino acid sequence of said immunoglobulin sequence; and of expressing or synthesizing said amino acid sequence in a manner known per se, such as by expression in a suitable host cell or host organism or by chemical synthesis.

Also, following the steps above, one or more amino acid sequences of the invention may be suitably humanized (or alternatively camelized); and/or the amino acid sequence(s) thus obtained may be linked to each other or to one or more other suitable amino acid sequences (optionally via one or more suitable linkers) so as to provide a polypeptide of the invention. Also, a nucleic acid sequence encoding an amino acid sequence of the invention may be suitably humanized (or alternatively camelized) and suitably expressed; and/or one or more nucleic acid sequences encoding an amino acid sequence of the invention may be linked to each other or to one or more nucleic acid sequences that encode other suitable amino acid sequences (optionally via nucleotide sequences that encode one or more suitable linkers), after which the nucleotide sequence thus obtained may be suitably expressed so as to provide a polypeptide of the invention.

The invention further relates to applications and uses of the amino acid sequences, compounds, constructs, polypeptides, nucleic acids, host cells, products and compositions described herein, as well as to methods for the prevention and/or treatment for diseases and disorders associated with any of IL-17A, 1L-17F and/or IL-17A/F including combinations thereof. Some preferred but non-limiting applications and uses will become clear from the further description herein.

The invention also relates to the amino acid sequences, compounds, constructs, polypeptides, nucleic acids, host cells, products and compositions described herein for use in therapy.

In particular, the invention also relates to the amino acid sequences, compounds, constructs, polypeptides, nucleic acids, host cells, products and compositions described herein for use in therapy of a disease or disorder that can be prevented or treated by administering, to a subject in need thereof, of (a pharmaceutically effective amount of) an amino acid sequence, compound, construct or polypeptide as described herein.

More in particular, the invention relates to the amino acid sequences, compounds, constructs, polypeptides, nucleic acids, host cells, products and compositions described herein for use in therapy of immune related diseases and disorders of the invention.

Other aspects, embodiments, advantages and applications of the invention will also become clear from the further description herein, in which the invention will be described and discussed in more detail with reference to the Nanobodies of the invention and polypeptides of the invention comprising the same, which form some of the preferred aspects of the invention.

As will become clear from the further description herein, Nanobodies generally offer certain advantages (outlined herein) compared to “dAb's” or similar (single) domain antibodies or immunoglobulin sequences, which advantages are also provided by the Nanobodies of the invention. However, it will be clear to the skilled person that the more general aspects of the teaching below can also be applied (either directly or analogously) to other amino acid sequences of the invention.

DETAILED DESCIPTION OF THE INVENTION

In the present description, examples and claims:

-   a) Unless indicated or defined otherwise, all terms used have their     usual meaning in the art, which will be clear to the skilled person.     Reference is for example made to the standard handbooks mentioned in     paragraph a) on page 46 of WO 08/020079. -   b) Unless indicated otherwise, the terms “immunoglobulin sequence”,     “sequence”, “nucleotide sequence” and “nucleic acid” are as     described in paragraph b) on page 46 of WO 08/020079. -   c) Unless indicated otherwise, all methods, steps, techniques and     manipulations that are not specifically described in detail can be     performed and have been performed in a manner known per se, as will     be clear to the skilled person. Reference is for example again made     to the standard handbooks and the general background art mentioned     herein and to the further references cited therein; as well as to     for example the following reviews Presta, Adv. Drug Deliv. Rev.     2006, 58 (5-6): 640-56; Levin and Weiss, Mol. Biosyst. 2006, 2(1):     49-57; Irving et al., J. Immunol. Methods, 2001, 248(1-2), 31-45;     Schmitz et al., Placenta, 2000, 21 Suppl. A, S106-12, Gonzales et     al., Tumour Biol., 2005, 26(1), 31-43, which describe techniques for     protein engineering, such as affinity maturation and other     techniques for improving the specificity and other desired     properties of proteins such as immunoglobulins. -   d) Amino acid residues will be indicated according to the standard     three-letter or one-letter amino acid code. Reference is made to     Table A-2 on page 48 of the International application WO 08/020079     of Ablynx N.V. entitled “Amino acid sequences directed against IL-6R     and polypeptides comprising the same for the treatment of diseases     and disorders associated with Il-6 mediated signalling”. -   e) For the purposes of comparing two or more nucleotide sequences,     the percentage of “sequence identity” between a first nucleotide     sequence and a second nucleotide sequence may be calculated or     determined as described in paragraph e) on page 49 of WO 08/020079     (incorporated herein by reference), such as by dividing [the number     of nucleotides in the first nucleotide sequence that are identical     to the nucleotides at the corresponding positions in the second     nucleotide sequence] by [the total number of nucleotides in the     first nucleotide sequence] and multiplying by [100%], in which each     deletion, insertion, substitution or addition of a nucleotide in the     second nucleotide sequence—compared to the first nucleotide     sequence—is considered as a difference at a single nucleotide     (position); or using a suitable computer algorithm or technique,     again as described in paragraph e) on pages 49 of WO 08/020079     (incorporated herein by reference). -   f) For the purposes of comparing two or more amino acid sequences,     the percentage of “sequence identity” between a first amino acid     sequence and a second amino acid sequence (also referred to herein     as “amino acid identity”) may be calculated or determined as     described in paragraph f) on pages 49 and 50 of WO 08/020079     (incorporated herein by reference), such as by dividing [the number     of amino acid residues in the first amino acid sequence that are     identical to the amino acid residues at the corresponding positions     in the second amino acid sequence] by [the total number of amino     acid residues in the first amino acid sequence] and multiplying by     [100%], in which each deletion, insertion, substitution or addition     of an amino acid residue in the second amino acid sequence—compared     to the first amino acid sequence—is considered as a difference at a     single amino acid residue (position), i.e. as an “amino acid     difference” as defined herein; or using a suitable computer     algorithm or technique, again as described in paragraph f) on pages     49 and 50 of WO 08/020079 (incorporated herein by reference).

Also, in determining the degree of sequence identity between two amino acid sequences, the skilled person may take into account so-called “conservative” amino acid substitutions, as described on page 50 of WO 08/020079.

Any amino acid substitutions applied to the polypeptides described herein may also be based on the analysis of the frequencies of amino acid variations between homologous proteins of different species developed by Schulz et al., Principles of Protein Structure, Springer-Verlag, 1978, on the analyses of structure forming potentials developed by Chou and Fasman, Biochemistry 13: 211, 1974 and Adv. Enzymol., 47: 45-149, 1978, and on the analysis of hydrophobicity patterns in proteins developed by Eisenberg et al., Proc. Nad. Acad Sci. USA 81: 140-144, 1984; Kyte & Doolittle; J Molec. Biol. 157: 105-132, 198 1, and Goldman et al., Ann. Rev. Biophys. Chem. 15: 321-353, 1986, all incorporated herein in their entirety by reference. Information on the primary, secondary and tertiary structure of Nanobodies is given in the description herein and in the general background art cited above. Also, for this purpose, the crystal structure of a V_(HH) domain from a llama is for example given by Desmyter et al., Nature Structural Biology, Vol. 3, 9, 803 (1996); Spinelli et al., Natural Structural Biology (1996); 3, 752-757; and Decanniere et al., Structure, Vol. 7, 4, 361 (1999). Further information about some of the amino acid residues that in conventional V_(H) domains form the V_(H)/V_(L) interface and potential camelizing substitutions on these positions can be found in the prior art cited above.

-   g) Amino acid sequences and nucleic acid sequences are said to be     “exactly the same” if they have 100% sequence identity (as defined     herein) over their entire length. -   h) When comparing two amino acid sequences, the term “amino acid     difference” refers to an insertion, deletion or substitution of a     single amino acid residue on a position of the first sequence,     compared to the second sequence; it being understood that two amino     acid sequences can contain one, two or more such amino acid     differences. -   i) When a nucleotide sequence or amino acid sequence is said to     “comprise” another nucleotide sequence or amino acid sequence,     respectively, or to “essentially consist of” another nucleotide     sequence or amino acid sequence, this has the meaning given in     paragraph i) on pages 51-52 of WO 08/020079. -   j) The term “in essentially isolated form” has the meaning given to     it in paragraph j) on pages 52 and 53 of WO 08/020079. -   k) The terms “domain” and “binding domain” have the meanings given     to it in paragraph k) on page 53 of WO 08/020079. -   l) The terms “antigenic determinant” and “epitope”, which may also     be used interchangeably herein, have the meanings given to it in     paragraph 1) on page 53 of WO 08/020079. An epitope in the context     of the present invention includes any peptide or peptide-derivative     determinant capable of specific binding to an amino acid sequence of     the invention. An epitope may comprise any suitable number of amino     acids, in any suitable position (with respect to the linear sequence     of IL17A and/or ILI 7F and/or IL17A/F), orientation (with respect to     folded IL17A and/or IL17F and/or IL17A/F), or a fragment thereof,     amino acid composition (and consequently, at least in part, charge).     Thus, for example, an epitope may be composed of about 3-10 amino     acids, typically 3-8 amino acids, in one or more contiguous or     noncontiguous locations with respect to the primary sequence of     IL17A and/or IL17F and/or IL17A/F (for instance an epitope may     consist essentially of 2, 3, 4, 5, 6, 7, or 8 amino acid residues     distributed in 1, 2, 3, 4, or 5 noncontiguous locations in CD38).     Alternatively, for example, an epitope may be considered to be     defined by a region of about 5-40 contiguous amino acid residues     (e.g., about 7-30 amino acid residues, about 5-20 amino acid     residues, or about 3-15 amino acid residues) in IL17A and/or IL17F     and/or IL17A/F (solely or in combination with a portion of an     adjacent CD38 domain). In some epitopes it may be the case that just     one amino acid residue or only a few amino acid residues are     critical to CDR or CDR(s) recognition (and thereby most important to     binding to IL17A and/or IL17F and/or IL17A/F, for antigen affinity     and avidity). As such, an epitope may be characterized on the basis     of one or more of such critical residues, with the recognition that     other residues may also make some lesser contribution to the     epitope. In the case of an epitope defined by a region of amino     acids, it may be that one or more amino acids in the region make     only a minor contribution or even negligible contribution to     antibody binding, such that the residue may be subject to     substitution with an appropriate different residue without resulting     in “a loss” of the epitope to at least some amino acid sequences of     the invention specific for it. -   m) As further described in paragraph m) on page 53 of WO 08/020079,     an amino acid sequence (such as a Nanobody, an antibody, a     polypeptide of the invention, or generally an antigen binding     protein or polypeptide or a fragment thereof) that can     (specifically) bind to, that has affinity for and/or that has     specificity for a specific antigenic determinant, epitope, antigen     or protein (or for at least one part, fragment or epitope thereof)     is said to be “against” or “directed against” said antigenic     determinant, epitope, antigen or protein. -   n) The term “specificity” has the meaning given to it in     paragraph n) on pages 53-56 of WO 08/020079; and as mentioned     therein refers to the number of different types of antigens or     antigenic determinants to which a particular antigen-binding     molecule or antigen-binding protein (such as a Nanobody or a     polypeptide of the invention) molecule can bind. Such binding     properties in the context of the amino acid sequences of the present     invention is sometimes referred to as “binding specifically”     throughout the present document. Wherever the term “binding     specifically” occurs in the present document it denotes binding     properties of an amino acid sequence of the present invention which     binding to a target exhibits such specifity as explained in this     paragraph. The specificity of an antigen-binding protein can be     determined based on affinity and/or avidity, as described on pages     53-56 of WO 08/020079 (incorporated herein by reference), which also     describes some preferred techniques for measuring binding between an     antigen-binding molecule (such as a Nanobody or polypeptide of the     invention) and the pertinent antigen. Typically, antigen-binding     proteins (such as the amino acid sequences, Nanobodies and/or     polypeptides of the invention) will bind to their antigen with a     dissociation constant (K_(D)) of 10⁻⁵ to 10⁻¹² moles/liter or less,     and preferably 10⁻⁷ to 10⁻¹² moles/liter or less and more preferably     10⁻⁸ to 10⁻¹² moles/liter (i.e. with an association constant (K_(A))     of 10⁵ to 10¹² liter/moles or more, and preferably 10⁷ to 10¹²     liter/moles or more and more preferably 10⁸ to 10¹² liter/moles).     Any K_(D) value greater than 10⁴ mol/liter (or any K_(A) value lower     than 10⁴ M⁻¹) liters/mol is generally considered to indicate     non-specific binding. Preferably, a monovalent immunoglobulin     sequence of the invention will bind to the desired antigen with an     affinity less than 500 nM, preferably less than 200 nM, more     preferably less than 10 nM, such as less than 500 pM. Specific     binding of an antigen-binding protein to an antigen or antigenic     determinant can be determined in any suitable manner known per se,     including, for example, Scatchard analysis and/or competitive     binding assays, such as radioimmunoassays (RIA), enzyme immunoassays     (EIA) and sandwich competition assays, and the different variants     thereof known per se in the art; as well as the other techniques     mentioned herein. As will be clear to the skilled person, and as     described on pages 53-56 of WO 08/020079, the dissociation constant     may be the actual or apparent dissociation constant. Methods for     determining the dissociation constant will be clear to the skilled     person, and for example include the techniques mentioned on pages     53-56 of WO 08/020079. -   o) The half-life of an amino acid sequence, compound or polypeptide     of the invention can generally be defined as described in     paragraph o) on page 57 of WO 08/020079 and as mentioned therein     refers to the time taken for the serum concentration of the amino     acid sequence, compound or polypeptide to be reduced by 50%, in     vivo, for example due to degradation of the sequence or compound     and/or clearance or sequestration of the sequence or compound by     natural mechanisms. The in vivo half-life of an amino acid sequence,     compound or polypeptide of the invention can be determined in any     manner known per se, such as by pharmacokinetic analysis. Suitable     techniques will be clear to the person skilled in the art, and may     for example generally be as described in paragraph o) on page 57 of     WO 08/020079. As also mentioned in paragraph o) on page 57 of WO     08/020079, the half-life can be expressed using parameters such as     the t1/2-alpha, t1/2-beta and the area under the curve (AUC).     Reference is for example made to the Experimental Part below, as     well as to the standard handbooks, such as Kenneth, A et al:     Chemical Stability of Pharmaceuticals: A Handbook for Pharmacists     and Peters et al, Pharmacokinete analysis: A Practical Approach     (1996). Reference is also made to “Pharmacokinetics”, M Gibaldi & D     Perron, published by Marcel Dekker, 2nd Rev. edition (1982). The     terms “increase in half-life” or “increased half-life” as also as     defined in paragraph o) on page 57 of WO 08/020079 and in particular     refer to an increase in the t1/2-beta, either with or without an     increase in the t1/2-alpha and/or the AUC or both. -   p) In the context of the present invention, “modulating” or “to     modulate” generally means either reducing or inhibiting the activity     of, or alternatively increasing the activity of, a target or     antigen, as measured using a suitable in vitro, cellular or in vivo     assay. In particular, “modulating” or “to modulate” may mean either     reducing or inhibiting the activity of, or alternatively increasing     a (relevant or intended) biological activity of, a target or     antigen, as measured using a suitable in vitro, cellular or in vivo     assay (which will usually depend on the target or antigen involved),     by at least 1%, preferably at least 5%, such as at least 10% or at     least 25%, for example by at least 50%, at least 60%, at least 70%,     at least 80%, or 90% or more, compared to activity of the target or     antigen in the same assay under the same conditions but without the     presence of the construct of the invention.

As will be clear to the skilled person, “modulating” may also involve effecting a change (which may either be an increase or a decrease) in affinity, avidity, specificity and/or selectivity of a target or antigen for one or more of its ligands, binding partners, partners for association into a homomultimeric or heteromultimeric form, or substrates; and/or effecting a change (which may either be an increase or a decrease) in the sensitivity of the target or antigen for one or more conditions in the medium or surroundings in which the target or antigen is present (such as pH, ion strength, the presence of co-factors, etc.), compared to the same conditions but without the presence of the construct of the invention. As will be clear to the skilled person, this may again be determined in any suitable manner and/or using any suitable assay known per se, depending on the target or antigen involved.

“Modulating” may also mean effecting a change (i.e. an activity as an agonist, as an antagonist or as a reverse agonist, respectively, depending on the target or antigen and the desired biological or physiological effect) with respect to one or more biological or physiological mechanisms, effects, responses, functions, pathways or activities in which the target or antigen (or in which its substrate(s), ligand(s) or pathway(s) are involved, such as its signalling pathway or metabolic pathway and their associated biological or physiological effects) is involved. Again, as will be clear to the skilled person, such an action as an agonist or an antagonist may be determined in any suitable manner and/or using any suitable (in vitro and usually cellular or in assay) assay known per se, depending on the target or antigen involved. In particular, an action as an agonist or antagonist may be such that an intended biological or physiological activity is increased or decreased, respectively, by at least 1%, preferably at least 5%, such as at least 10% or at least 25%, for example by at least 50%, at least 60%, at least 70%, at least 80%, or 90% or more, compared to the biological or physiological activity in the same assay under the same conditions but without the presence of the construct of the invention.

Modulating may for example also involve allosteric modulation of the target or antigen; and/or reducing or inhibiting the binding of the target or antigen to one of its substrates or ligands and/or competing with a natural ligand, substrate for binding to the target or antigen. Modulating may also involve activating the target or antigen or the mechanism or pathway in which it is involved. Modulating may for example also involve effecting a change in respect of the folding or confirmation of the target or antigen, or in respect of the ability of the target or antigen to fold, to change its confirmation (for example, upon binding of a ligand), to associate with other (sub)units, or to disassociate. Modulating may for example also involve effecting a change in the ability of the target or antigen to transport other compounds or to serve as a channel for other compounds (such as ions).

Modulating may be reversible or irreversible, but for pharmaceutical and pharmacological purposes will usually be in a reversible manner.

-   q) In respect of a target or antigen, the term “interaction site” on     the target or antigen means a site, epitope, antigenic determinant,     part, domain or stretch of amino acid residues on the target or     antigen that is a site for binding to a ligand, receptor or other     binding partner, a catalytic site, a cleavage site, a site for     allosteric interaction, a site involved in multimerisation (such as     homomerization or heterodimerization) of the target or antigen; or     any other site, epitope, antigenic determinant, part, domain or     stretch of amino acid residues on the target or antigen that is     involved in a biological action or mechanism of the target or     antigen. More generally, an “interaction site” can be any site,     epitope, antigenic determinant, part, domain or stretch of amino     acid residues on the target or antigen to which an amino acid     sequence or polypeptide of the invention can bind such that the     target or antigen (and/or any pathway, interaction, signalling,     biological mechanism or biological effect in which the target or     antigen is involved) is modulated (as defined herein). -   r) An amino acid sequence or polypeptide is said to be “specific     for” a first target or antigen compared to a second target or     antigen when is binds to the first antigen with an affinity (as     described above, and suitably expressed as a K_(D) value, K_(A)     value, K_(off) rate and/or K_(on) rate) that is at least 10 times,     such as at least 100 times, and preferably at least 1000 times, and     up to 10,000 times or more better than the affinity with which said     amino acid sequence or polypeptide binds to the second target or     polypeptide. For example, the first antigen may bind to the target     or antigen with a K_(D) value that is at least 10 times less, such     as at least 100 times less, and preferably at least 1000 times less,     such as 10,000 times less or even less than that, than the K_(D)     with which said amino acid sequence or polypeptide binds to the     second target or polypeptide. Preferably, when an amino acid     sequence or polypeptide is “specific for” a first target or antigen     compared to a second target or antigen, it is directed against (as     defined herein) said first target or antigen, but not directed     against said second target or antigen. -   s) The terms “cross-block”, “cross-blocked” and “cross-blocking” are     used interchangeably herein to mean the ability of an amino acid     sequence or other binding agents (such as a Nanobody, polypeptide or     compound or construct of the invention) to interfere with the     binding of other amino acid sequences or binding agents of the     invention to a given target. The extend to which an amino acid     sequence or other binding agents of the invention is able to     interfere with the binding of another to the target, and therefore     whether it can be said to cross-block according to the invention,     can be determined using competition binding assays. One particularly     suitable quantitative cross-blocking assay uses a Biacore machine     which can measure the extent of interactions using surface plasmon     resonance technology. Another suitable quantitative cross-blocking     assay uses an ELISA-based approach to measure competition between     amino acid sequences or other binding agents in terms of their     binding to the target.

The following generally describes a suitable Biacore assay for determining whether an amino acid sequence or other binding agent cross-blocks or is capable of cross-blocking according to the invention. It will be appreciated that the assay can be used with any of the amino acid sequences or other binding agents described herein. The Biacore machine (for example the Biacore 3000) is operated in line with the manufacturer's recommendations. Thus in one cross-blocking assay, the target protein is coupled to a CM5 Biacore chip using standard amine coupling chemistry to generate a surface that is coated with the target. Typically 200-800 resonance units of the target would be coupled to the chip (an amount that gives easily measurable levels of binding but that is readily saturable by the concentrations of test reagent being used). Two test amino acid sequences (termed A* and B*) to be assessed for their ability to cross-block each other are mixed at a one to one molar ratio of binding sites in a suitable buffer to create the test mixture. When calculating the concentrations on a binding site basis the molecular weight of an amino acid sequence is assumed to be the total molecular weight of the amino acid sequence divided by the number of target binding sites on that amino acid sequence. The concentration of each amino acid sequence in the test mix should be high enough to readily saturate the binding sites for that amino acid sequence on the target molecules captured on the Biacore chip. The amino acid sequences in the mixture are at the same molar concentration (on a binding basis) and that concentration would typically be between 1.00 and 1.5 micromolar (on a binding site basis). Separate solutions containing A* alone and B* alone are also prepared. A* and B* in these solutions should be in the same buffer and at the same concentration as in the test mix. The test mixture is passed over the target-coated Biacore chip and the total amount of binding recorded. The chip is then treated in such a way as to remove the bound amino acid sequences without damaging the chip-bound target. Typically this is done by treating the chip with 30 mM HCl for 60 seconds. The solution of A* alone is then passed over the target-coated surface and the amount of binding recorded. The chip is again treated to remove all of the bound amino acid sequences without damaging the chip-bound target. The solution of B* alone is then passed over the target-coated surface and the amount of binding recorded. The maximum theoretical binding of the mixture of A* and B* is next calculated, and is the sum of the binding of each amino acid sequence when passed over the target surface alone. If the actual recorded binding of the mixture is less than this theoretical maximum then the two amino acid sequences are cross-blocking each other. Thus, in general, a cross-blocking amino acid sequence or other binding agent according to the invention is one which will bind to the target in the above Biacore cross-blocking assay such that, during the assay and in the presence of a second amino acid sequence or other binding agent of the invention, the recorded binding is between 80% and 0.1% (e.g. 80% to 4%) of the maximum theoretical binding, specifically between 75% and 0.1% (e.g. 75% to 4%) of the maximum theoretical binding, and more specifically between 70% and 0.1% (e.g. 70% to 4%) of maximum theoretical binding (as just defined above) of the two amino acid sequences or binding agents in combination. The Biacore assay described above is a primary assay used to determine if amino acid sequences or other binding agents cross-block each other according to the invention. On rare occasions particular amino acid sequences or other binding agents may not bind to target coupled via amine chemistry to a CMS Biacore chip (this usually occurs when the relevant binding site on target is masked or destroyed by the coupling to the chip). In such cases cross-blocking can be determined using a tagged version of the target, for example a N-terminal His-tagged version. In this particular format, an anti-His amino acid sequence would be coupled to the Biacore chip and then the His-tagged target would be passed over the surface of the chip and captured by the anti-His amino acid sequence. The cross blocking analysis would be carried out essentially as described above, except that after each chip regeneration cycle, new His-tagged target would be loaded back onto the anti-His amino acid sequence coated surface. In addition to the example given using N-terminal His-tagged target, C-terminal His-tagged target could alternatively be used. Furthermore, various other tags and tag binding protein combinations that are known in the art could be used for such a cross-blocking analysis (e.g. HA tag with anti-HA antibodies; FLAG tag with anti-FLAG antibodies; biotin tag with streptavidin).

The following generally describes an ELISA assay for determining whether an amino acid sequence or other binding agent directed against a target cross-blocks or is capable of cross-blocking as defined herein. It will be appreciated that the assay can be used with any of the amino acid sequences (or other binding agents such as polypeptides of the invention) described herein. The general principal of the assay is to have an amino acid sequence or binding agent that is directed against the target coated onto the wells of an ELISA plate. An excess amount of a second, potentially cross-blocking, anti-target amino acid sequence is added in solution (i.e. not bound to the ELISA plate). A limited amount of the target is then added to the wells. The coated amino acid sequence and the amino acid sequence in solution compete for binding of the limited number of target molecules. The plate is washed to remove excess target that has not been bound by the coated amino acid sequence and to also remove the second, solution phase amino acid sequence as well as any complexes formed between the second, solution phase amino acid sequence and target. The amount of bound target is then measured using a reagent that is appropriate to detect the target. An amino acid sequence in solution that is able to cross-block the coated amino acid sequence will be able to cause a decrease in the number of target molecules that the coated amino acid sequence can bind relative to the number of target molecules that the coated amino acid sequence can bind in the absence of the second, solution phase, amino acid sequence. In the instance where the first amino acid sequence, e.g. an Ab-X, is chosen to be the immobilized amino acid sequence, it is coated onto the wells of the ELISA plate, after which the plates are blocked with a suitable blocking solution to minimize non-specific binding of reagents that are subsequently added. An excess amount of the second amino acid sequence, i.e. Ab-Y, is then added to the ELISA plate such that the moles of Ab-Y target binding sites per well are at least 10 fold higher than the moles of Ab-X target binding sites that were used, per well, during the coating of the ELISA plate. Target is then added such that the moles of target added per well are at least 25-fold lower than the moles of Ab-X target binding sites that were used for coating each well. Following a suitable incubation period the ELISA plate is washed and a reagent for detecting the target is added to measure the amount of target specifically bound by the coated anti[target amino acid sequence (in this case Ab-X). The background signal for the assay is defined as the signal obtained in wells with the coated amino acid sequence (in this case Ab-X), second solution phase amino acid sequence (in this case Ab-Y), target buffer only (i.e. without target) and target detection reagents. The positive control signal for the assay is defined as the signal obtained in wells with the coated amino acid sequence (in this case Ab-X), second solution phase amino acid sequence buffer only (i.e. without second solution phase amino acid sequence), target and target detection reagents. The ELISA assay may be run in such a manner so as to have the positive control signal be at least 6 times the background signal. To avoid any artefacts (e.g. significantly different affinities between Ab-X and Ab-Y for the target) resulting from the choice of which amino acid sequence to use as the coating amino acid sequence and which to use as the second (competitor) amino acid sequence, the cross-blocking assay may to be run in two formats: 1) format 1 is where Ab-X is the amino acid sequence that is coated onto the ELISA plate and Ab-Y is the competitor amino acid sequence that is in solution and 2) format 2 is where Ab-Y is the amino acid sequence that is coated onto the ELISA plate and Ab-X is the competitor amino acid sequence that is in solution. Ab-X and Ab-Y are defined as cross-blocking if, either in format 1 or in format 2, the solution phase anti-target amino acid sequence is able to cause a reduction of between 60% and 100%, specifically between 70% and 100%, and more specifically between 80% and 100%, of the target detection signal {i.e. the amount of target bound by the coated amino acid sequence) as compared to the target detection signal obtained in the absence of the solution phase anti- target amino acid sequence (i.e. the positive control wells).

-   t) An amino acid sequence is said to be “cross-reactive” for two     different antigens or antigenic determinants (such as serum albumin     from two different species of mammal, such as human serum albumin     and cyno serum albumin) if it is specific for (as defined herein)     both these different antigens or antigenic determinants. -   u) By binding that is “essentially independent of the pH” is     generally meant herein that the association constant (K_(A)) of the     amino acid sequence with respect to the serum protein (such as serum     albumin) at the pH value(s) that occur in a cell of an animal or     human body (as further described herein) is at least 5%, such as at     least 10%, preferably at least 25%, more preferably at least 50%,     even more preferably at least 60%, such as even more preferably at     least 70%, such as at least 80% or 90% or more (or even more than     100%, such as more than 110%, more than 120% or even 130% or more,     or even more than 150%, or even more than 200%) of the association     constant (K_(A)) of the amino acid sequence with respect to the same     serum protein at the pH value(s) that occur outside said cell.     Alternatively, by binding that is “essentially independent of the     pH” is generally meant herein that the k_(off) rate (measured by     Biacore) of the amino acid sequence with respect to the serum     protein (such as serum albumin) at the pH value(s) that occur in a     cell of an animal or human body (as e.g. further described herein,     e.g. pH around 5.5, e.g. 5.3 to 5.7) is at least 5%, such as at     least 10%, preferably at least 25%, more preferably at least 50%,     even more preferably at least 60%, such as even more preferably at     least 70%, such as at least 80% or 90% or more (or even more than     100%, such as more than 110%, more than 120% or even 130% or more,     or even more than 150%, or even more than 200%) of the k_(off) rate     of the amino acid sequence with respect to the same serum protein at     the pH value(s) that occur outside said cell, e.g. pH 7.2 to 7.4. By     “the pH value(s) that occur in a cell of an animal or human body” is     meant the pH value(s) that may occur inside a cell, and in     particular inside a cell that is involved in the recycling of the     serum protein. In particular, by “the pH value(s) that occur in a     cell of an animal or human body” is meant the pH value(s) that may     occur inside a (sub)cellular compartment or vesicle that is involved     in recycling of the serum protein (e.g. as a result of pinocytosis,     endocytosis, transcytosis, exocytosis and phagocytosis or a similar     mechanism of uptake or internalization into said cell), such as an     endosome, lysosome or pinosome. -   v) As further described herein, the total number of amino acid     residues in a Nanobody can be in the region of 110-120, is     preferably 112-115, and is most preferably 113. It should however be     noted that parts, fragments, analogs or derivatives (as further     described herein) of a Nanobody are not particularly limited as to     their length and/or size, as long as such parts, fragments, analogs     or derivatives meet the further requirements outlined herein and are     also preferably suitable for the purposes described herein; -   w) As further described in paragraph q) on pages 58 and 59 of WO     08/020079 (incorporated herein by reference), the amino acid     residues of a Nanobody are numbered according to the general     numbering for V_(H) domains given by Kabat et al. (“Sequence of     proteins of immunological interest”, US Public Health Services, NIH     Bethesda, Md., Publication No. 91), as applied to V_(HH) domains     from Camelids in the article of Riechmann and Muyldermans, J.     Immunol. Methods 2000 Jun. 23; 240 (1-2): 185-195 (see for example     FIG. 2 of this publication), and accordingly FR1 of a Nanobody     comprises the amino acid residues at positions 1-30, CDR1 of a     Nanobody comprises the amino acid residues at positions 31-35, FR2     of a Nanobody comprises the amino acids at positions 36-49, CDR2 of     a Nanobody comprises the amino acid residues at positions 50-65, FR3     of a Nanobody comprises the amino acid residues at positions 66-94,     CDR3 of a Nanobody comprises the amino acid residues at positions     95-102, and FR4 of a Nanobody comprises the amino acid residues at     positions 103-113. -   x) The Figures, Sequence Listing and the Experimental Part/Examples     are only given to further illustrate the invention and should not be     interpreted or construed as limiting the scope of the invention     and/or of the appended claims in any way, unless explicitly     indicated otherwise herein.

For a general description of heavy chain antibodies and the variable domains thereof, reference is inter alia made to the prior art cited herein, as well as to the prior art mentioned on page 59 of WO 08/020079 and to the list of references mentioned on pages 41-43 of the International application WO 06/040153, which prior art and references are incorporated herein by reference.

In accordance with the terminology used in the art (see the above references), the variable domains present in naturally occurring heavy chain antibodies will also be referred to as “V_(HH) domains”, in order to distinguish them from the heavy chain variable domains that are present in conventional 4-chain antibodies (which will be referred to hereinbelow as “V_(H) domains”) and from the light chain variable domains that are present in conventional 4-chain antibodies (which will be referred to hereinbelow as “V_(L) domains”).

As mentioned in the prior art referred to above, V_(HH) domains have a number of unique structural characteristics and functional properties which make isolated V_(HH) domains (as well as Nanobodies based thereon, which share these structural characteristics and functional properties with the naturally occurring V_(HH) domains) and proteins containing the same highly advantageous for use as functional antigen-binding domains or proteins. In particular, and without being limited thereto, V_(HH) domains (which have been “designed” by nature to functionally bind to an antigen without the presence of, and without any interaction with, a light chain variable domain) and Nanobodies can function as a single, relatively small, functional antigen-binding structural unit, domain or protein. This distinguishes the V_(HH) domains from the V_(H) and V_(L) domains of conventional 4-chain antibodies, which by themselves are generally not suited for practical application as single antigen-binding proteins or domains, but need to be combined in some form or another to provide a functional antigen-binding unit (as in for example conventional antibody fragments such as Fab fragments; in ScFv's fragments, which consist of a V_(H) domain covalently linked to a V_(L) domain).

Because of these unique properties, the use of V_(HH) domains and Nanobodies as single antigen-binding proteins or as antigen-binding domains (i.e. as part of a larger protein or polypeptide) offers a number of significant advantages over the use of conventional V_(H) and V_(L) domains, scFv's or conventional antibody fragments (such as Fab- or F(ab′)₂-fragments), including the advantages that are listed on pages 60 and 61 of WO 08/020079.

In a specific and preferred aspect, the invention provides Nanobodies against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and in particular Nanobodies against any of IL-17A, IL-17F and/or 1L-17A/F including combinations thereof from a warm-blooded animal, and more in particular Nanobodies against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from a mammal, and especially Nanobodies against human any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof; as well as proteins and/or polypeptides comprising at least one such Nanobody.

In particular, the invention provides Nanobodies against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and proteins and/or polypeptides comprising the same, that have improved therapeutic and/or pharmacological properties and/or other advantageous properties (such as, for example, improved ease of preparation and/or reduced costs of goods), compared to conventional antibodies against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or fragments thereof, compared to constructs that could be based on such conventional antibodies or antibody fragments (such as Fab′ fragments, F(ab′)₂ fragments, ScFv constructs, “diabodies” and other multispecific constructs (see for example the review by Holliger and Hudson, Nat Biotechnol. 2005 September; 23(9):1126-36)), and also compared to the so-called “dAb's” or similar (single) domain antibodies that may be derived from variable domains of conventional antibodies. These improved and advantageous properties will become clear from the further description herein, and for example include, without limitation, one or more of:

-   -   increased affinity and/or avidity for any of IL-17A, IL-17F         and/or IL-17A/F including combinations thereof, either in a         monovalent format, in a multivalent format (for example in a         bivalent format) and/or in a multispecific format (for example         one of the multispecific formats described hereinbelow);     -   better suitability for formatting in a multivalent format (for         example in a bivalent format);     -   better suitability for formatting in a multispecific format (for         example one of the multispecific formats described hereinbelow);     -   improved suitability or susceptibility for “humanizing”         substitutions (as defined herein);     -   less immunogenicity, either in a monovalent format, in a         multivalent format (for example in a bivalent format) and/or in         a multispecific format (for example one of the multispecific         formats described hereinbelow);     -   increased stability, either in a monovalent format, in a         multivalent format (for example in a bivalent format) and/or in         a multispecific format (for example one of the multispecific         formats described hereinbelow);     -   increased specificity towards any of IL-17A, IL-17F and/or         IL-17A/F including combinations thereof, either in a monovalent         format, in a multivalent format (for example in a bivalent         format) and/or in a multispecific format (for example one of the         multispecific formats described hereinbelow);     -   decreased or where desired increased cross-reactivity with any         of IL-17A, IL-17F and/or IL-17A/F including combinations thereof         from different species;         and/or     -   one or more other improved properties desirable for         pharmaceutical use (including prophylactic use and/or         therapeutic use) and/or for diagnostic use (including but not         limited to use for imaging purposes), either in a monovalent         format, in a multivalent format (for example in a bivalent         format) and/or in a multispecific format (for example one of the         multispecific formats described hereinbelow).

As generally described herein for the amino acid sequences of the invention, the Nanobodies of the invention are preferably in essentially isolated form (as defined herein), or form part of a protein or polypeptide of the invention (as defined herein), which may comprise or essentially consist of one or more Nanobodies of the invention and which may optionally further comprise one or more further amino acid sequences (all optionally linked via one or more suitable linkers). For example, and without limitation, the one or more amino acid sequences (or ISV's) of the invention may be used as a binding unit in such a protein or polypeptide, which may optionally contain one or more further amino acid sequences (or ISV's) that can serve as a binding unit (i.e. against one or more other targets than any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), so as to provide a monovalent, multivalent or multispecific polypeptide of the invention, respectively, all as described herein. In particular, such a protein or polypeptide may comprise or essentially consist of one or more Nanobodies (or ISV's) of the invention and optionally one or more (other) Nanobodies (ISV's), i.e. directed against other targets than any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, all optionally linked via one or more suitable linkers, so as to provide a monovalent, multivalent or multispecific Nanobody construct, respectively, as further described herein. Such proteins or polypeptides may also be in essentially isolated form (as defined herein).

In a Nanobody (or ISV) of the invention, the binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is preferably formed by the CDR sequences. Optionally, a Nanobody (or ISV) of the invention may also, and in addition to the at least one binding site for binding against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, contain one or more further binding sites for binding against other antigens, proteins or targets. For methods and positions for introducing such second binding sites, reference is for example made to Keck and Huston, Biophysical Journal, 71, October 1996, 2002-2011; EP 0 640 130; and WO 06/07260.

As generally described herein for the amino acid sequences of the invention, when a Nanobody (or ISV) of the invention (or a polypeptide of the invention comprising the same) is intended for administration to a subject (for example for therapeutic and/or diagnostic purposes as described herein), it is preferably directed against any of human IL-17A, IL-17F and/or IL-17A/F including combinations thereof; whereas for veterinary purposes, it is preferably directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from the species to be treated. Also, as with the amino acid sequences of the invention, a Nanobody (or ISV) of the invention may or may not be cross-reactive (i.e. directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from two or more species of mammal, such as against any of human IL-17A, IL-17F and/or IL-17A/F including combinations thereof and any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from at least one of the species of mammal mentioned herein).

Also, again as generally described herein for the amino acid sequences of the invention, the Nanobodies (or ISV's) of the invention may generally be directed against any antigenic determinant, epitope, part, domain, subunit or confirmation (where applicable) of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. However, it is generally assumed and preferred that the Nanobodies (or ISV's) of the invention (and polypeptides comprising the same) are directed against the epitopes of the invention such as described herein.

As already described herein, the amino acid sequence and structure of a Nanobody (or ISV) can be considered—without however being limited thereto—to be comprised of four framework regions or “FR's” (or sometimes also referred to as “FW's”), which are referred to in the art and herein as “Framework region 1” or “FR1”; as “Framework region 2” or “FR2”; as “Framework region 3” or “FR3”; and as “Framework region 4” or “FR4”, respectively; which framework regions are interrupted by three complementary determining regions or “CDR's”, which are referred to in the art as “Complementarity Determining Region 1” or “CDR1”; as “Complementarity Determining Region 2” or “CDR2”; and as “Complementarity Determining Region 3” or “CDR3”, respectively. Some preferred framework sequences and CDR's (and combinations thereof) that are present in the Nanobodies (or ISV's) of the invention are as described herein. Other suitable CDR sequences can be obtained by the methods described herein.

According to a non-limiting but preferred aspect of the invention, (the CDR sequences present in) the Nanobodies (or ISV's) of the invention are such that:

-   -   the Nanobodies (or ISV's) can bind to any of IL-17A, IL-17F         and/or IL-17A/F including combinations thereof with a         dissociation constant (K_(D)) of 10⁻⁵ to 10⁻¹² moles/liter or         less, and preferably 10⁻⁷ to 10⁻¹² moles/liter or less and more         preferably 10⁻⁸ to 10⁻¹² moles/liter (i.e. with an association         constant (K_(A)) of 10⁵ to 10¹² liter/moles or more, and         preferably 10⁷ to 10¹² liter/moles or more and more preferably         10⁸ to 10¹² liter/moles);         and/or such that:     -   the Nanobodies (or ISV's) can bind to any of IL-17A, IL-17F         and/or IL-17A/F including combinations thereof with a         k_(on)-rate of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹,         preferably between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably         between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹         and 10⁷ M⁻¹s⁻¹;         and/or such that they:     -   the Nanobodies (or ISV's) can bind to any of IL-17A, IL-17F         and/or IL-17A/F including combinations thereof with a k_(off)         rate between 1 s⁻¹ (t_(1/2)=0.69 s) and 10⁻⁶ s⁻¹ (providing a         near irreversible complex with a t_(1/2) of multiple days),         preferably between 10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably         between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶         s⁻¹.

Preferably, (the CDR sequences present in) the Nanobodies (or ISV's) of the invention are such that: a monovalent Nanobody (or ISV) of the invention (or a polypeptide that contains only one Nanobody (or ISV) of the invention) is preferably such that it will bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity less than 500 nM, preferably less than 200 nM, more preferably less than 10 nM, such as less than 500 pM.

The affinity of the Nanobody (or ISV) of the invention against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof can be determined in a manner known per se, for example using the general techniques for measuring K_(D). K_(A), k_(off) or k_(on) mentioned herein, as well as some of the specific assays described herein.

Some preferred IC50 values for binding of the Nanobodies (or ISV's) of the invention (and of polypeptides comprising the same) to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof will become clear from the further description and examples herein.

In a preferred but non-limiting aspect, the invention relates to a Nanobody (or ISV) (as defined herein) against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, which consists of 4 framework regions (FR1 to FR4 respectively) and 3 complementarity determining regions (CDR1 to CDR3 respectively), in which:

-   -   CDR1 is chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267;

-   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;

-   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;     and/or     -   CDR2 is chosen from the group consisting of:

-   d) the amino acid sequences of SEQ ID NOs: 339 to 409;

-   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;

-   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;     and/or     -   CDR3 is chosen from the group consisting of:

-   g) the amino acid sequences of SEQ ID NOs: 481 to 551,

-   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;

-   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;     or any suitable fragment of such an amino acid sequence.

In particular, according to this preferred but non-limiting aspect, the invention relates to a Nanobody (or ISV) (as defined herein) against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, which consists of 4 framework regions (FR1 to FR4 respectively) and 3 complementarity determining regions (CDR1 to CDR3 respectively), in which:

-   -   CDR1 is chosen from the group consisting of:

-   a) the amino acid sequences of SEQ ID NOs: 197 to 267;

-   b) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;

-   c) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 197 to     267;     and     -   CDR2 is chosen from the group consisting of:

-   d) the amino acid sequences of SEQ ID NOs: 339 to 409;

-   e) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;

-   f) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 339 to     409;     and     -   CDR3 is chosen from the group consisting of:

-   g) the amino acid sequences of SEQ ID NOs: 481 to 551;

-   h) amino acid sequences that have at least 80% amino acid identity     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;

-   i) amino acid sequences that have 3, 2, or 1 amino acid difference     with at least one of the amino acid sequences of SEQ ID NOs: 481 to     551;     or any suitable fragment of such an amino acid sequences.

As generally mentioned herein for the amino acid sequences of the invention, when a

Nanobody (or ISV) of the invention contains one or more CDR1 sequences according to b) and/or c):

-   i) any amino acid substitution in such a CDR according to b)     and/or c) is preferably, and compared to the corresponding CDR     according to a), a conservative amino acid substitution (as defined     herein);     and/or -   ii) the CDR according to b) and/or c) preferably only contains amino     acid substitutions, and no amino acid deletions or insertions,     compared to the corresponding CDR according to a);     and/or -   iii) the CDR according to b) and/or c) may be a CDR that is derived     from a CDR according to a) by means of affinity maturation using one     or more techniques of affinity maturation known per se.

Similarly, when a Nanobody (or ISV) of the invention contains one or more CDR2 sequences according to e) and/or f):

-   i) any amino acid substitution in such a CDR according to e)     and/or f) is preferably, and compared to the corresponding CDR     according to d), a conservative amino acid substitution (as defined     herein);     and/or -   ii) the CDR according to e) and/or f) preferably only contains amino     acid substitutions, and no amino acid deletions or insertions,     compared to the corresponding CDR according to d);     and/or -   iii) the CDR according to e) and/or f) may be a CDR that is derived     from a CDR according to d) by means of affinity maturation using one     or more techniques of affinity maturation known per se.

Also, similarly, when a Nanobody (or ISV) of the invention contains one or more CDR3 sequences according to h) and/or i):

-   i) any amino acid substitution in such a CDR according to h)     and/or i) is preferably, and compared to the corresponding CDR     according to g), a conservative amino acid substitution (as defined     herein);     and/or -   ii) the CDR according to h) and/or i) preferably only contains amino     acid substitutions, and no amino acid deletions or insertions,     compared to the corresponding CDR according to g);     and/or -   iii) the CDR according to h) and/or i) may be a CDR that is derived     from a CDR according to g) by means of affinity maturation using one     or more techniques of affinity maturation known per se.

It should be understood that the last three paragraphs generally apply to any Nanobody (or ISV) of the invention that comprises one or more CDR1 sequences, CDR2 sequences and/or CDR3 sequences according to b), c), e), f), h) or i), respectively.

Of the Nanobodies (or ISV's) of the invention, Nanobodies (or ISV's) comprising one or more of the CDR's explicitly listed above are particularly preferred; Nanobodies (or ISV's) comprising two or more of the CDR's explicitly listed above are more particularly preferred; and Nanobodies (or ISV's) comprising three of the CDR's explicitly listed above are most particularly preferred.

Some particularly preferred, but non-limiting combinations of CDR sequences, as well as preferred combinations of CDR sequences and framework sequences, are mentioned in Table B-1 below, which lists the CDR sequences and framework sequences that are present in a number of preferred (but non-limiting) Nanobodies (or ISV's) of the invention. As will be clear to the skilled person, a combination of CDR1, CDR2 and CDR3 sequences that occur in the same clone (i.e. CDR1, CDR2 and CDR3 sequences that are mentioned on the same line in Table B-1) will usually be preferred (although the invention in its broadest sense is not limited thereto, and also comprises other suitable combinations of the CDR sequences mentioned in Table B-1). Also, a combination of CDR sequences and framework sequences that occur in the same clone (i.e. CDR sequences and framework sequences that are mentioned on the same line, e.g. same row, in Table B-1) will usually be preferred (although the invention in its broadest sense is not limited thereto, and also comprises other suitable combinations of the CDR sequences and framework sequences mentioned in Table B-1, e.g. from different rows, as well as combinations of such CDR sequences and other suitable framework sequences, e.g. as further described herein).

Also, in the Nanobodies (or ISV's) of the invention that comprise any of the combinations of CDR's mentioned in Table B-1, each CDR can be replaced by a CDR chosen from the group consisting of amino acid sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity (as defined herein) with the mentioned CDR's; in which:

-   i) any amino acid substitution in such a CDR is preferably, and     compared to the corresponding CDR sequence mentioned in Table B-1, a     conservative amino acid substitution (as defined herein);     and/or -   ii) any such CDR sequence preferably only contains amino acid     substitutions, and no amino acid deletions or insertions, compared     to the corresponding CDR sequence mentioned in Table B-1;     and/or -   iii) any such CDR sequence is a CDR that is derived by means of a     technique for affinity maturation known per se, and in particular     starting from the corresponding CDR sequence mentioned in Table B-1.

However, as will be clear to the skilled person, the (combinations of) CDR sequences, as well as (the combinations of) CDR sequences and framework sequences mentioned in Table B-1 will generally be preferred.

TABLE B-1 Preferred combinations of CDR sequences, preferreD combinations of framework sequences, and preferred combinations of framework and CDR sequences. (“ID” refers to the SEQ ID NO as used herein) ID FR1 ID CDR1 ID FR2 ID CDR2 ID FR3 ID CDR3 ID FR4 01D02 126 EVQLVESGGGL 197 SYALG 268 WFRQAPG 339 AINWSGDNTHYA 410 RFTISRDNAKNTVS 481 QLGYESGYS 552 WGQGTQV VQAGGSLRLSC KERDFVA DSVKG LQMNSLKPEDTAV LTYDYDY TVSS AASGLSFS YYCAA 01G03 127 EVQLVESGGGL 198 NYDMG 269 WFRQAPG 340 ADISWSALNTNY 411 RFTISRDNAKNMV 482 RRSGYASFD 553 WGQGTQV VQAGGSLRLSC KERELIA ADSVKG YLQMNNLKPEDTA N TVSS AASERTIS VYYCAA 02E03 128 EVQLVESGGGL 199 SYAMS 270 WARQAPG 341 DINSGGTRTTYAD 412 RFTISRDNAKNTLY 483 LSVFRSQLG 554 RGQGTQV VQPGGSLRLSC EGLEWVS SVKG LQMNSLKPEDTAV GKYYGGDY TVSS AASGFTFS YVCAK EN 03B08 129 EVQLVESGGGL 200 DYAIG 271 WFRQAPG 342 CISSSDGSIYYADS 413 RFTISSDNAKNTVY 484 FGRTGWAEE 555 WGQGTQV VQAGGSLRLSC KEREGVS VKG LQMNSLKPEDTAV CVDYDY TVSS AASGFTFD YHCAR 03E05 130 EVQLVESGGGL 201 DYSIG 272 WFRQAPG 343 CISSSDGIPYYSDF 414 RFTTSIDNAKNTVY 485 GFGRLCAEF 556 WGQGTQV VQAGGSLRLSC KEREGVS VKG LQMNSLKPEDTAV DS TVSS AASGVTFD YYCAA 01D06 131 EVQLVESGGGL 202 TYGMT 273 WFRQVPG 344 HIPRSTYSPYYAN 413 RFTIARDDAKSTVY 486 FTGGTYYVP 557 WGQGTQV VQAGGSLRLSC KEREFVA SVKG LQMNSLKPEDTAV TAYDY TVSS AADGRTFS YYCAV 02A08 132 EVQLVESGGG 203 FNAMG 274 WFRQAPG 345 AISATGDDTYYA 416 RFAISRDTARNTVY 487 RVNFDGTVS 558 WGQGTQV VVQPGGSLRLS KEREFVA DSVKG LQMNSLKPEDTAV YTNDYAY TVSS CADSERSFS YYCGA 02A10 133 EVQLVESGGGL 204 YYAIG 275 WFRQAPG 346 CDSSSDGRTYYG 417 RFTISTDSAKNTVY 488 CTDFEYDY 559 WGQGTQV VQPGGSLRLSC KEREGVS DSVKG LQMNSLKPEDTAV TVSS AASGFALG YYCAT 04B09 134 EVQLVESGGGL 205 YYAIG 276 WFRQAPG 347 CDSSSDGDTYYA 418 RFTISTDNGKNTVY 489 CTDWNYDY 560 WGQGTQV VQPGGSLRLSC KEREGVS NSVKG LQMNSLKPEDTAV TVSS AASGFTLG YYCAT 03C07 135 EVQLVESGGGL 206 DYAIG 277 WFRQAPG 348 CFSSSDGSIYYAD 419 RFTISSDNAKNTVY 490 GGGSYYYTQ 561 WGKGTQV VQAGGSLRLSC KEREAVS SVKG LQMNSLKPEDTAV LNYCYDMD TVSS AASGFTFD YYCAG Y 04A02 136 EVQLVESGGGL 207 INYMA 278 WYRQAPG 349 AMTSDATTEYAD 420 RFTISRDIPENTVYL 491 KGIWDYLGR 562 WGQGTQV VQPGGSLRLSC NQRELVA SVKG QMNSLKPEDTAVY RDFGDY TVSS AASRNINI YCNA 04B10 137 EVQLVESGGGL 208 INVMG 279 WYRQAPG 350 LITSGGGTTYGDS 421 RFTISEDNAKNTVIL 492 EIGYYSGGT 563 WGQGTQV VQAGGSQSLSC KQRELVA VKG QMNSLEAEDTAVY YFSSEAH TVSS VASGTIVN YCAA 04G01 138 EVQLVESGGGL 209 IHVMG 280 WYRQAPG 351 LIFSGGSADYADS 422 RFTISRDNAKNTVY 493 EIGYYSGGT 564 WGQGTQV VQAGGSQRLSC KQRELVA VKG LEMNSLKAEDTAV YYSSEAH TVSS TASGTIVN YYCAA 04F09 139 EVQLVESGGGL 210 THAMG 281 WFRQAPG 352 AIRWSDGSSFYAD 423 RFTISRDNAKNAVY 494 DVEGPTALH 565 WGRGTQV VQPGGSLRLSC KERDFVA SVKG LQSNSLKSEDTAVY KY TVSS AASGRTFS VCYA 09D10 140 EVQLVESGGGL 211 IDVMR 282 WHRQAPG 353 SIASGGTTNYADS 424 RFTISRDNAKNTVY 495 NAESGPYTY 566 WGLGTQV VQAGGSLSLSC KQREFLA VKG LQMNSLKPEDTAV TVSS AASGSVFR YYCGA 09G10 141 EVQLVESGGGL 212 AKAVG 283 WYRQPPG 354 IITSGGKTNYADS 425 RFTVSVDKVKNTV 496 QWMGRDY 567 WGQGTQV VQAGGSLRLSC LQREWVA SVKG TLQMNSLKPEDTA TVSS AASDSVFT VYYCYA 11A06 142 EVQLVESGGGL 213 YYALG 284 WFRQAPG 355 CITSSDASAYYTD 426 RFTISRDNSKNTVY 497 ALLTCSSYY 568 WGQGTQV VQPGESLRLSC KEREGIS SVKG LQMNSLKTEDTAIY DAYTY TVSS KASGFSLD YCAA 06E11 143 EVQLVESGGGL 214 RGRLG 285 WFRQAPG 356 VAHWSGAITSYA 427 RPTFSRDNAKNTM 498 DSETSGNWV 569 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG NLQMNSLKPEDTA Y TVSS PVSGRAFS VYYCAA 07B09 144 EVQLVESGGGL 215 SYATG 286 WFRQAPG 357 VLRWSDGHTAYA 428 RFTISRDGAKNTMY 499 ATRPGEWDY 570 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG LQMSSLKPEDTAIY TVSS GASGGTFS YCTT 24G10 145 EVQLVESGGGL 216 SYATG 287 WFRQAPG 358 VFRWSDSHTAYA 429 RFTISRDGAKNTLY 500 ATRPGEWDY 571 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG LQMSSLKPEDTAIY TVSS GAAGGTFS YCTT 07B11 146 EVQLVESGGGL 217 SYVMG 288 WFRQAPG 359 LIRWSDGITGYVD 430 RFTISRDNAKNTVY 501 AVRPGDYDY 572 WGQGTQV VQAGGSLRLSC MEREFVA SVKG LQMNSLKPEDTAV TVSS VASGRAFS YYCAA 08A08 147 EVQLVESGGGL 218 PYRMG 289 WFRRAPG 360 LISWSSGRTSYAD 431 RFTISRDSAKNAVY 502 DLSGDAVYD 573 WGQGTQV VQAGGSLRLSC KAREFVT SVKG LQMDNLKPEDTAV S TVSS AASGRTFR YFCAV 08B07 148 EVQLVESGGGL 219 VKNVG 290 WTRQAPGK 361 TITVGGSTNYADS 432 RFTISRDNAKNTVY 503 VATVTDYTG 574 WGQGTQV VQPGGSLRLSC QRELVA AKG LQMSSLKPEDTAV TYSDGF TVSS AASGRDFR YYCNA 08H01 149 EVQLVESGGGL 220 SYATG 291 WFRQAPG 362 VLRWSDSHTAYA 433 RFTISRDGAKNTVY 504 GTRPGEWHY 575 WGQGTQV VQAGGSLRLSC KEREFVA DSVEG LQMSSLKPEDTAIY TVSS GASGGTFS YCTT 12A09 150 EVQLVESGGGL 221 SYRMA 292 WVRQAPG 363 STSTGGEMTNYA 434 RFTISRDNAKNTLH 505 GTSAGHWST 576 GGQGTQV VQPGGSLRLSC KGLEWVS DSVKG LQMNSLKPEDTAL TVSS AASGFTFS YYCAA 16A04 151 EVQLVESGGGL 222 SYVVG 293 WFRQAPG 364 AISGSGDSIYYAV 435 RFTISRDNGKNTLY 506 DQEFGYLRF 577 WGQGTQV VQAGGSLRLSC KEREFIG SEKD LQMSSLKAEDTAV GRSEY TVSS AASGRTFS YYCTA 24B08 152 EVQLVESGGGL 223 TYKMG 294 WFRQAPG 365 RISTNGPTAYAEF 436 RFTVSRENTKNTVY 507 GYDSLFAGY 578 WGQGTQV VQAGGSLRLSC KEREIVA VKG LQMNSLNIEDTAVY DY TVSS AVSGGTFS YCAA 01A01 153 EVQLVESGGGL 224 DYDIG 295 WFRQAPG 366 CFTSSDGRTFYAD 437 RFTVSADNAKNTV 508 VNTFDESAY 579 WGQGTQV VQAGGSLRLSC KEREGVS SVKG YLQMNSLEPEDTA AAFACYDVV AASGFTFD VYFCAA R 09B09 154 EMQLVESGGG 225 SYWMY 296 WARQAPG 367 ALAPGGDDEYYA 438 RFTISRDNAENSLY 509 DHNVGYRT 580 GGQGTQV LVQPGGSLRLS KGLEWIS DSVNG LQMNSLKSEDTAV GEYDY TVSS CAASGFTFS YYCAK 09E11 155 EVQLVESGGGL 226 SYWMY 297 WVRQAPG 368 ALAPGGDNRYYA 439 RFTISRDNAENSLY 510 DHNVGYRT 581 GGQGTQV VQPGGSLRLSC KGLEWTS DSVNG LQMNSLKSEDTAV GEYDY TVSS AASGFTFS YYCAK 10A04 156 EVQLVESGGGL 227 SYWMY 298 WVRQAPG 369 ALAPGGGNRYYA 440 RFTISRDNAKNSLY 511 DHNVGYRT 582 GGQGTQV VQPGGSLRLSC KGLEWIS ESVNG LQMNSLKSEDTAV GEYDY TVSS AASGFTFS YYCAK 10A05 157 EVQLVESGGGL 228 NYWMY 299 WVRQAPG 370 ALAPGGDNRYYA 441 RFTISRDNAENSLY 512 DHNVGYRT 583 GGQGTQV VQPGGSLRLSC KGLEWIS DSVNG LQMNSLKSEDTAV GEYDY TVSS AASGFTFS YYCAK 10D11 158 EVQLVESGGGL 229 SYWMY 300 WVRQAPG 371 ALAPGGEHRYYA 442 RFTISRDNAKNSLY 513 DHNVGYRT 584 GGQGTQV VQAGGSLRLSC KGLEWIS DSVNG LQMNSLKSEDTAV GEYDY TVSS AASGFTFS YYCAK 10F02 159 EVQLVESGGGL 230 SYWMY 301 WVRQAPG 372 ALAPGGGNAYYA 443 RFTISRDNAENLLY 514 DHNVGYRT 585 GGQGTQV VQPGGSLRLSC KGLEWIS DSVNG LQMNSLKSEDTAV GEYDY TVSS AASGFTFS YYCAK 11A02 160 EVQLVESGGGL 231 LNAMG 302 WYRAAPG 373 IIINGGSTNYADSV 444 RFTISRDSAKNAVY 515 NIPGDVY 586 WGQGTQV VQAGGSLRLSC KQRELVA KG LQMNSLKPEDTAV TVSS AASGVIFR YYCYY 11A07 161 EVQLVESGGGL 232 LNAMG 303 WYRAAPG 374 IIANGGSTNYADS 445 RFTISRDSAKNAVY 516 NIPGDVY 587 WGQGTRV VQAGGSLRLSC KQRELVA VKG LQMNSLKPEDTAV TVSS AAPGVIFR YYCYY 11C08 162 EVQLVESGGGL 233 LNAMG 304 WYRAAPG 375 IIVNGGSTNYADS 446 RFTISRDSAKNAVY 517 NIPGDVY 588 WGQGTQV VQAGGSLRLSC KQRELVA VKG LQMNSLKPEDTAV TVSS AASGVIFR YYCYY 11C09 163 EVQLVESGGGL 234 LNAMG 305 WYRAAPG 376 IIVNGGSTNYADS 447 RFTISRDSAKNAVY 518 NIPGDVY 589 WGQGTQV VQAGGSLRLSC KQRELVA VKG LQMDSLKPEDTAV TVSS AASGVIFR YYCYY 12H11 164 EVQLVESGGGL 235 LNAMG 306 WYRAAPG 377 IIVNGGSTNYADS 448 RFTISRDNAKNAVY 519 NIPGDVY 590 WGQGTQV VQPGGSLRLSC KQRELVA VKG LQMNSLKPEDTAV TVSS AASGVIFR YYCYY 13B03 165 EVQLVESGGGS 236 INWFG 307 WFRQTPG 378 GIRWSDAYTEYA 449 RFTISRDNAKNTVD 520 DLSTVRY 591 WGQGTQV VQAGDSLRLSC KEREFVA NSVKG LQMDSLKPEDTAV TVSS AASGRANS YYCYL 13D05 166 EVQLVESGGGS 237 INWFG 308 WFRQTPG 379 GIRWTDAYTEYA 450 RFTISRDNAKNTVG 521 DLSTVRY 592 WGQGSQV VQAGDSLRLSC KEREFVA ASVKG LQMDSLKPEDTAV TVSS AASGRANS YYCVL 13E02 167 EVQLVESGGGL 238 AMG 309 WLRQAPG 380 AISGSGDDTYYA 451 RFTISKDNAGITMY 522 RRGLYYVW 593 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG LQMNSLKPEDTAV DSNDYEN TVSS AASGRTYD YYCAT 01D08 168 EVQLVESGGGL 239 AMG 310 WLRQAPG 381 AISGSGDDTYYA 452 RFTISKDNAGITMY 523 RRGRYYVW 594 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG LEMNSLKPEDTAV DSNDYEN TVSS AASGRTYY YYCAT 13E07 169 EVQLVESGGGL 240 AMG 311 WLRQAPG 382 AISGSGDDTYYA 453 RFTISKDNAGITMY 524 RRGLYYVW 595 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG LQMNSLKPEDTAV DSNDYEN TVSS AASGRTYY YYCAT 13G06 170 EVQLVESGGGL 241 AMG 312 WLRQAPG 383 AVSGSGDDTYYA 454 RFTISKDNAGITMY 525 RRGLYYVW 596 WGQGTQV VQAGGSLRLSC KEREFVA DSVKG LQMNSLKPEDTAV DSNDYEN TVSS AASGRTYH YYCAT 13H05 171 EVQLVESGGGL 242 AMG 313 WFRQAPG 384 AISGSGEDTYYAD 455 RFTCSKDNAKDTM 526 RRGLYFITD 597 WGQGTQV VQAGGSLRLSC KEREFVA SVKG YLQMNSLKPEDTA SNDYEN TVSS AASGRTYD VYYCAT 13E05 172 EVQLVESGGG 243 NYAA 314 WFRQAPG 385 VSIFRTGSITYTAD 456 RFTASRVNTKNTV 527 AYNPGVGY 598 WGQGTQV KVQAGDSLTLS KDRRELV SVKG YLQMNSLKPEDTA DY TVSS CVASGGTFS VYYCAS 17B03 173 EVQLVESGGGL 244 NYAA 315 WFRQGPG 386 SIFRSGTITYTADS 457 RFTASRVNTKNTV 528 AYNPGIGYD 599 WGQGTQV VQAGGSLRLSC KGRELVV VKG YLQMNSLKPEDTGI Y TVSS EASGGTFS YYCAS 17D08 174 EVQLVESGGGL 245 NYAA 316 WFRQAPG 387 VSIFRTGSITYTAD 458 RFTASRVNTKNTV 529 AYNPGVGY 600 WGQGTQV VQAGDSLTLSC KDRRELV SVKG YLQMNSLKPEDTA DY TVSS VASGGTFS VYYCAS 17E05 175 EVQLVESGGGL 246 NYAA 317 WFRQGPG 388 SIFRSGTITYTADS 459 RFTASRVNTKNTV 530 AYNPGIGYD 601 WGQGTQV VQAGDSLRLSC KGRELVV VKG YLQMNSLKPEDTGI Y TVSS EASGGTFS YYCAS 17G08 176 EVQLVESGGGL 247 NYAA 318 WFRQGPG 389 SIFRSGTITYTADS 460 RFTASRVNTKNTV 531 AYNPGIGYD 602 WGQGTQV VQPGGSLRLSC KGRELVV VKG YLQMNSLKPEDTGI Y TVSS EASGGTFS YYCAS 17H04 177 EVQLVESGGGL 248 NYAA 319 WFRQAPG 390 SIFRSGSITYTADS 461 RFTGSRVNTKNTA 532 AYNPGIGYD 603 WGQGTQV VQAGDSLRLSC KGRELEL VKG YLQMNNLKPEDTA Y TVSS VASGGTFS VYYCAS 17H07 178 EVQLVESGGGL 249 NYAA 320 WFRQAPG 391 VSIFRTGSITYTAD 462 RFTASRVNTKNTV 533 AYNPGVGY 604 WGQGTQV VQAGDSLTLSC KDRRELV SVKG YLQMNSLKPEDTA DY TVSS VASGGTFS VYYCAS 01C09 179 EVQLVKSGGG 250 TYPMG 321 WFRQAPG 392 AISMSGEDTIYAT 463 RFTISRDDARNTVT 534 RTSYNGRYD 605 WGQGTQV LVQAGGSLKLS KEREFVG SVKG LHMTSLKPEDTAV YIDDYSY TVSS CAASGRTFT YYCAA 01F10 180 EVQLVESGGGL 251 TYPMG 322 WFRQAPG 393 AISMSGEDAAYA 464 RFTISRDNARNTVY 535 RTSYNGIYD 606 WGQGTQV VQAGGSLRLSC KEREFVA TSVKG LHMTTLKPEDTAV YIDDYSY TVSS AASGRTFT YYCAA 02D02 181 EVQLVESGGGL 252 TYPMG 323 WFRQAPG 394 AISMSGDDTAYA 465 RFTIVRDDDKNTVY 536 RTSYSGTYD 607 WGQGTQV VQAGGSLKLSC KEREFVA TFVKG LHMTSLKPEDTAV YIDDYSY TVSS ARSGRTFT YYCAA 13A08 182 EVQLVESRGRL 253 SYPMG 324 WFRQAPG 395 AISMSGDDAAYA 466 RFTISRDDARNTVY 537 RTSYDGTYD 608 WGQGTQV VQAGGSLRLSC KEREFVA DFVRG LHMTSLKPEDTAV YIDDYSY TVSS AASGRTFT YYCAA 13B05 183 EVQLVESGGRL 254 SYPMG 325 WFRQAPG 396 AISMSGDDTAYT 467 RFTISRDDARNTVY 538 RTSYDGTYD 609 WGQGTQV VQAGGSLRLSC KEREFVA DFVRG LHMTSLKPEDTAV YIDDYSY TVSS AASGRTFT YYCAA 13C06 184 EVQLVESGGRL 255 SYPMG 236 WFRQAPG 397 AISMSGDDAAYA 468 RFTISRDDARNTVY 539 RTSYDGTYD 610 WGQGTQV VQAGGSLRLSC KEREFVA DFVRG LHMTSLKPEDTAV YIDDYSY TVSS AASGRTFT YYCAA 13E01 185 EVQLVESEGGL 256 SYPMG 327 WFRQAPG 398 AISMSGDDTIYRD 469 RFTISRDNARNTVY 540 RTSYDGRYD 611 WGQGTQV VQAGGSLRLSC KEREFVA FVKG LHMTSLKPEDTAV YIDDYSY TVSS ARSGHAFT YYCAA 13E03 186 EVQLVESGGGL 257 TYPMG 328 WFRQAPG 399 AISMSGDDTAYA 470 RFTISRDSARNTVY 541 RTSYDGRYD 612 WGQGTQV VQAGGSLRLSC KEREFVA TFVKG LHMTRLKPEDTAV YIDPYSD TVSS AASGRTFT YSCAA 13E08 187 EVQLVESRGGL 258 SYPMG 329 WFRQAPG 400 AISMSGDDTAVA 471 RFTISRDNARNTVY 542 RTSYSGRYD 613 WGQGTQV VQAGGSLRLSC KEREFVA TFVKG LHMTSLKPEDTAV YIDDYSY TVSS AGSGRTLY YHCAA 13G04 188 EVQLVESGGGL 259 SYPMG 330 WFRQAPG 401 AISMSGDDTAVA 472 RFTISRDNARNTVY 543 RTSYSGRYD 614 WGQGTQV VQAGGSLRLSC KEREFVA TFVKG LHMSSLKPEDTAV YIDDYSY TVSS AASGRTLY YHCAA 13G05 189 EVQLVESGGGL 260 TYPMG 331 WFRQAPG 402 AISMSGDDTAYA 473 RFTFSRDDDKNTVY 544 RTSYSGMYD 615 WGQGTQV VQAGGSLELSC KEREFVA TFVKG LHMTSLKPEDTAV YIHDYSY TVSS ARSGRTFT YYCAA 13G08 190 EVQLVESGGGL 261 SYPMG 332 WFRQAPG 403 AISMSGDDSAYR 474 RFTISRDNARDTVY 545 RTSYNGRYD 616 WGQGTQV VQAGGSLRLSC KEREFVA DFVKG LHMTSLKPEDTAIY YIDDYSY TVSS AASGRTFF YCAA 13H03 191 EVQLVESGGGL 262 TYPMG 333 WFRQAPG 404 AISMSGDDTAYA 475 RFTISRDNARNTVY 546 RTSYDGRYD 617 WGQGTQV VQAGGSLRLSC KEREFVA TFVKG LHMTRLKPEDTAV YIDDYSD TVSS AASGRTFT YSCAA 17C01 192 EVQLVESGGRL 263 SYPMG 334 WFRQAPG 405 AISMSGDDAAYA 476 RFTISRDDARNTVY 547 RTSYDGTYD 618 WGQGTQV VQAGGSLRLPC KEREFVA DFVRG LHMTSLKPEDTAV YIDDYSY TVSS AASGRTFT YYCAA 15A08 193 EVQLVESGGGL 264 YYAIG 335 WFRQAPG 406 CVSSSDGRTAYA 477 RFTISRDNAKNTVY 548 VMEYGLGCT 619 WGQGTLV VQPGGSLRLSC KEREGVS DSVKG LQMNSLKPEDTAV TDVLDA TVSS AASGFTLD YYCAT 13G02 194 EVQLVESRGGL 265 VFAMR 336 WFRQAPG 407 GISWTGGTTYYA 478 RFTMSADNAKNTV 549 DVGGGSDRY 620 LGQGTQV VQAGGSLRLSC KEREFVA DSVKG YLQMNSLKPEDTA TVSS AASGGTFS VYYCAV 17E02 195 EVQLVESRGGL 266 VFAMR 337 WFRQAPG 408 GISWTGGTTYYA 479 RFTMSADNAKNTV 550 DVGGGSDRY 621 LGQGTQV VQAGGSLRLSC KEREFVA DSVKG YLQMNSLKPEDTA TVSS AASGGTFS VYYCAV 18B05 196 EVQLVKSGGG 267 LFAMG 338 WFREAPG 409 AIRWSDGSSYYA 480 RFTISRDNAKNAVH 551 DVQGGLHR 622 WGQGTQV LVQPGGSLRLS KEREFVA DSVKG LQSNSLKSEDTAVY Y TVSS CAASGGTFS YCYA

Thus, in the Nanobodies (or ISV's) of the invention, at least one of the CDR1, CDR2 and CDR3 sequences present is suitably chosen from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1; or from the group of CDR1, CDR2 and CDR3 sequences, respectively, that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% “sequence identity” (as defined herein) with at least one of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1; and/or from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, that have 3, 2 or only 1 “amino acid difference(s)” (as defined herein) with at least one of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1.

In this context, by “suitably chosen” is meant that, as applicable, a CDR1 sequence is chosen from suitable CDR1 sequences (i.e. as defined herein), a CDR2 sequence is chosen from suitable CDR2 sequences (i.e. as defined herein), and a CDR3 sequence is chosen from suitable CDR3 sequences (i.e. as defined herein), respectively. More in particular, the CDR sequences are preferably chosen such that the Nanobodies (or ISV's) of the invention bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein.

In particular, in the Nanobodies (or ISV's) of the invention, at least the CDR3 sequence present is suitably chosen from the group consisting of the CDR3 sequences listed in Table B-1 or from the group of CDR3 sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the CDR3 sequences listed in Table B-1; and/or from the group consisting of the CDR3 sequences that have 3, 2 or only 1 amino acid difference(s) with at least one of the CDR3 sequences listed in Table B-1.

Preferably, in the Nanobodies (or ISV's) of the invention, at least two of the CDR1, CDR2 and CDR3 sequences present are suitably chosen from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1 or from the group consisting of CDR1, CDR2 and CDR3 sequences, respectively, that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1; and/or from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, that have 3, 2 or only 1 “amino acid difference(s)” with at least one of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1.

In particular, in the Nanobodies (or ISV's) of the invention, at least the CDR3 sequence present is suitably chosen from the group consisting of the CDR3 sequences listed in Table B-1 or from the group of CDR3 sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the CDR3 sequences listed in Table B-1, respectively; and at least one of the CDR1 and CDR2 sequences present is suitably chosen from the group consisting of the CDR1 and CDR2 sequences, respectively, listed in Table B-1 or from the group of CDR1 and CDR2 sequences, respectively, that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the CDR1 and CDR2 sequences, respectively, listed in Table B-1; and/or from the group consisting of the CDR1 and CDR2 sequences, respectively, that have 3, 2 or only 1 amino acid difference(s) with at least one of the CDR1 and CDR2 sequences, respectively, listed in Table B-1.

Most preferably, in the Nanobodies (or ISV's) of the invention, all three CDR1, CDR2 and CDR3 sequences present are suitably chosen from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1 or from the group of CDR1, CDR2 and CDR3 sequences, respectively, that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1; and/or from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, that have 3, 2 or only 1 amino acid difference(s) with at least one of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1.

Even more preferably, in the Nanobodies (or ISV's) of the invention, at least one of the CDR1, CDR2 and CDR3 sequences present is suitably chosen from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1. Preferably, in this aspect, at least one or preferably both of the other two CDR sequences present are suitably chosen from CDR sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the corresponding CDR sequences, respectively, listed in Table B-1; and/or from the group consisting of the CDR sequences that have 3, 2 or only 1 amino acid difference(s) with at least one of the corresponding sequences, respectively, listed in Table B-1.

In particular, in the Nanobodies (or ISV's) of the invention, at least the CDR3 sequence present is suitably chosen from the group consisting of the CDR3 listed in Table B-1. Preferably, in this aspect, at least one and preferably both of the CDR1 and CDR2 sequences present are suitably chosen from the groups of CDR1 and CDR2 sequences, respectively, that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with the CDR1 and CDR2 sequences, respectively, listed in Table B-1; and/or from the group consisting of the CDR1 and CDR2 sequences, respectively, that have 3, 2 or only 1 amino acid difference(s) with at least one of the CDR1 and CDR2 sequences, respectively, listed in Table B-1.

Even more preferably, in the Nanobodies (or ISV's) of the invention, at least two of the CDR1, CDR2 and CDR3 sequences present are suitably chosen from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1. Preferably, in this aspect, the remaining CDR sequence present is suitably chosen from the group of CDR sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the corresponding CDR sequences listed in Table B-1; and/or from the group consisting of CDR sequences that have 3, 2 or only 1 amino acid difference(s) with at least one of the corresponding sequences listed in Table B-1.

In particular, in the Nanobodies (or ISV's) of the invention, at least the CDR3 sequence is suitably chosen from the group consisting of the CDR3 sequences listed in Table B-1, and either the CDR1 sequence or the CDR2 sequence is suitably chosen from the group consisting of the CDR1 and CDR2 sequences, respectively, listed in Table B-1. Preferably, in this aspect, the remaining CDR sequence present is suitably chosen from the group of CDR sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with at least one of the corresponding CDR sequences listed in Table B-1; and/or from the group consisting of CDR sequences that have 3, 2 or only 1 amino acid difference(s) with the corresponding CDR sequences listed in Table B-1.

Even more preferably, in the Nanobodies (or ISV's) of the invention, each of the CDR1, CDR2 and CDR3 sequences present are suitably chosen from the group consisting of the CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1.

Also, generally, the combinations of CDR's listed in Table B-1 (i.e. those mentioned on the same line, e.g. row, in Table B-1) are preferred. Thus, it is generally preferred that, when a CDR in a Nanobody (or ISV) of the invention is a CDR sequence mentioned in Table B-1 or is suitably chosen from the group of CDR sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with a CDR sequence listed in Table B-1; and/or from the group consisting of CDR sequences that have 3, 2 or only 1 amino acid difference(s) with a CDR sequence listed in Table B-1, that at least one and preferably both of the other CDR's are suitably chosen from the CDR sequences that belong to the same combination in Table B-1 (i.e. mentioned on the same line, e.g. row, in Table B-1) or are suitably chosen from the group of CDR sequences that have at least 80%, preferably at least 90%, more preferably at least 95%, even more preferably at least 99% sequence identity with the CDR sequence(s) belonging to the same combination and/or from the group consisting of CDR sequences that have 3, 2 or only 1 amino acid difference(s) with the CDR sequence(s) belonging to the same combination. The other preferences indicated in the above paragraphs also apply to the combinations of CDR's mentioned in Table B-1.

Thus, by means of non-limiting examples, a Nanobody (or ISV) of the invention can for example comprise a CDR1 sequence that has more than 80% sequence identity with one of the CDR1 sequences mentioned in Table B-1, a CDR2 sequence that has 3, 2 or 1 amino acid difference with one of the CDR2 sequences mentioned in Table B-1 (but belonging to a different combination, e.g. from at least one different row), and a CDR3 sequence.

Some preferred Nanobodies (or ISV's) of the invention may for example comprise: (1) a CDR1 sequence that has more than 80% sequence identity with one of the CDR1 sequences mentioned in Table B-1; a CDR2 sequence that has 3, 2 or 1 amino acid difference with one of the CDR2 sequences mentioned in Table B-1 (but belonging to a different combination, e.g. from at least one different row); and a CDR3 sequence that has more than 80% sequence identity with one of the CDR3 sequences mentioned in Table B-1 (but belonging to a different combination); or (2) a CDR I sequence that has more than 80% sequence identity with one of the CDR1 sequences mentioned in Table B-1; a CDR2 sequence, and one of the CDR3 sequences listed in Table B-1; or (3) a CDR1 sequence; a CDR2 sequence that has more than 80% sequence identity with one of the CDR2 sequence listed in Table B-1; and a CDR3 sequence that has 3, 2 or 1 amino acid differences with the CDR3 sequence mentioned in Table B-1 that belongs to the same combination as the CDR2 sequence.

In this context, the person skilled in the art will appreciate that the “same combination” refers to a combination of CDR1, CDR2 and CDR3 which are depicted on the same row (or line) in Table B-1, and that a “different combination” refers to a combination of CDR1, CDR2 and CDR3, of which at least one CDR is not depicted on the same row (or line) in Table B-1 as at least one other CDR.

Some particularly preferred Nanobodies (or ISV's) of the invention may for example comprise: (1) a CDR1 sequence that has more than 80% sequence identity with one of the CDR1 sequences mentioned in Table B-1; a CDR2 sequence that has 3, 2 or 1 amino acid difference with the CDR2 sequence mentioned in Table B-1 that belongs to the same combination; and a CDR3 sequence that has more than 80% sequence identity with the CDR3 sequence mentioned in Table B-1 that belongs to the same combination; (2) a CDR1 sequence; a CDR 2 listed in Table B-1 and a CDR3 sequence listed in Table B-1 (in which the CDR2 sequence and CDR3 sequence may belong to different combinations).

Some even more preferred Nanobodies (or ISV's) of the invention may for example comprise: (1) a CDR1 sequence that has more than 80% sequence identity with one of the CDR1 sequences mentioned in Table B-1; the CDR2 sequence listed in Table B-1 that belongs to the same combination; and a CDR3 sequence mentioned in Table B-1 that belongs to a different combination; or (2) a CDR1 sequence mentioned in Table B-1; a CDR2 sequence that has 3, 2 or 1 amino acid differences with the CDR2 sequence mentioned in Table B-1 that belongs to the same combination; and a CDR3 sequence that has more than 80% sequence identity with the CDR3 sequence listed in Table B-1 that belongs to the same or a different combination.

Particularly preferred Nanobodies (or ISV's) of the invention may for example comprise a CDR1 sequence mentioned in Table B-1, a CDR2 sequence that has more than 80% sequence identity with the CDR2 sequence mentioned in Table B-1 that belongs to the same combination; and the CDR3 sequence mentioned in Table B-1 that belongs to the same combination.

In the most preferred Nanobodies (or ISV's) of the invention, the CDR1, CDR2 and CDR3 sequences present are suitably chosen from one of the combinations of CDR1, CDR2 and CDR3 sequences, respectively, listed in Table B-1.

According to another preferred, but non-limiting aspect of the invention (a) CDR1 has a length of between 1 and 12 amino acid residues, and usually between 2 and 9 amino acid residues, such as 5, 6 or 7 amino acid residues; and/or (b) CDR2 has a length of between 13 and 24 amino acid residues, and usually between 15 and 21 amino acid residues, such as 16 and 17 amino acid residues; and/or (c) CDR3 has a length of between 2 and 35 amino acid residues, and usually between 3 and 30 amino acid residues, such as between 6 and 23 amino acid residues.

In another preferred, but non-limiting aspect, the invention relates to a Nanobody (or ISV) in which the CDR sequences (as defined herein) have more than 80%, preferably more than 90%, more preferably more than 95%, such as 99% or more sequence identity (as defined herein) with the CDR sequences of at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1).

Generally, Nanobodies (or ISV's) with the above CDR sequences may be as further described herein, and preferably have framework sequences that are also as further described herein, Thus, for example and as mentioned herein, such Nanobodies (or ISV's) may be naturally occurring Nanobodies (or ISV's) (from any suitable species), naturally occurring V_(HH) sequences (i.e. from a suitable species of Camelid) or synthetic or semi-synthetic amino acid sequences or Nanobodies (or ISV's), including but not limited to partially humanized Nanobodies (or ISV's) or V_(HH) sequences, fully humanized Nanobodies (or ISV's) or V_(HH) sequences, camelized heavy chain variable domain sequences, as well as Nanobodies (or ISV's) that have been obtained by the techniques mentioned herein.

Thus, in one specific, but non-limiting aspect, the invention relates to a humanized Nanobody (or ISV), which consists of 4 framework regions (FR1 to FR4 respectively) and 3 complementarity determining regions (CDR1 to CDR3 respectively), in which CDR1 to CDR3 are as defined herein and in which said humanized Nanobody (or ISV) comprises at least one humanizing substitution (as defined herein), and in particular at least one humanizing substitution in at least one of its framework sequences (as defined herein).

In another preferred, but non-limiting aspect, the invention relates to a Nanobody (or ISV) in which the CDR sequences have at least 70% amino acid identity, preferably at least 80% amino acid identity, more preferably at least 90% amino acid identity, such as 95% amino acid identity or more or even essentially 100% amino acid identity with the CDR sequences of at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1). This degree of amino acid identity can for example be determined by determining the degree of amino acid identity (in a manner described herein) between said Nanobody (or ISV) and one or more of the sequences of SEQ ID NOs: 623 to 693 (see Table A-1), in which the amino acid residues that form the framework regions are disregarded. Such Nanobodies (or ISV's) can be as further described herein.

In another preferred, but non-limiting aspect, the invention relates to a Nanobody (or ISV) with an amino acid sequence that is chosen from the group consisting of SEQ ID NOs: 623 to 693 (see Table A-1) or from the group consisting of from amino acid sequences that have more than 80%, preferably more than 90%, more preferably more than 95%, such as 99% or more sequence identity (as defined herein) with at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1).

It will be clear to the skilled person that the Nanobodies (or ISV's) that are mentioned herein as “preferred” (or “more preferred”, “even more preferred”, etc.) are also preferred (or more preferred, or even more preferred, etc.) for use in the polypeptides described herein. Thus, polypeptides that comprise or essentially consist of one or more “preferred” Nanobodies (or ISV's) of the invention will generally be preferred, and polypeptides that comprise or essentially consist of one or more “more preferred” Nanobodies (or ISV's) of the invention will generally be more preferred, etc.

Generally, proteins or polypeptides that comprise or essentially consist of a single Nanobody (or ISV) (such as a single Nanobody (or ISV) of the invention) will be referred to herein as “monovalent” proteins or polypeptides or as “monovalent constructs”. Proteins and polypeptides that comprise or essentially consist of two or more Nanobodies (or ISV's) (such as at least two Nanobodies (or ISV's) of the invention or at least one Nanobody (or ISV) of the invention and at least one other Nanobody (or ISV)) will be referred to herein as “multivalent” proteins or polypeptides or as “multivalent constructs”, and these may provide certain advantages compared to the corresponding monovalent Nanobodies (or ISV's) of the invention. Some non-limiting examples of such multivalent constructs will become clear from the further description herein.

According to one specific, but non-limiting aspect, a polypeptide of the invention comprises or essentially consists of at least two Nanobodies (or ISV's) of the invention, such as two or three Nanobodies (or ISV's) of the invention. As further described herein, such multivalent constructs can provide certain advantages compared to a protein or polypeptide comprising or essentially consisting of a single Nanobody (or ISV) of the invention, such as a much improved avidity for any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. Such multivalent constructs will be clear to the skilled person based on the disclosure herein.

According to another specific, but non-limiting aspect, a polypeptide of the invention comprises or essentially consists of at least one Nanobody (or ISV) of the invention and at least one other binding unit (i.e. directed against another epitope, antigen, target, protein or polypeptide), which is preferably also a Nanobody (or ISV). Such proteins or polypeptides are also referred to herein as “multispecific” proteins or polypeptides or as ‘multispecific constructs”, and these may provide certain advantages compared to the corresponding monovalent Nanobodies (or ISV's) of the invention (as will become clear from the further discussion herein of some preferred, but-nonlimiting multispecific constructs). Such multispecific constructs will be clear to the skilled person based on the disclosure herein.

According to yet another specific, but non-limiting aspect, a polypeptide of the invention comprises or essentially consists of at least one Nanobody (or ISV) of the invention, optionally one or more further Nanobodies (or ISV's), and at least one other amino acid sequence (such as a protein or polypeptide) that confers at least one desired property to the Nanobody (or ISV) of the invention and/or to the resulting fusion protein. Again, such fusion proteins may provide certain advantages compared to the corresponding monovalent Nanobodies (or ISV's) of the invention. Some non-limiting examples of such amino acid sequences and of such fusion constructs will become clear from the further description herein.

It is also possible to combine two or more of the above aspects, for example to provide a trivalent bispecific construct comprising two Nanobodies (or ISV's) of the invention and one other Nanobody (or ISV), and optionally one or more other amino acid sequences. Further non-limiting examples of such constructs, as well as some constructs that are particularly preferred within the context of the present invention, will become clear from the further description herein.

In the above constructs, the one or more Nanobodies (or ISV's) and/or other amino acid sequences may be directly linked to each other and/or suitably linked to each other via one or more linker sequences. Some suitable but non-limiting examples of such linkers will become clear from the further description herein.

In one specific aspect of the invention, a Nanobody (or ISV) of the invention or a compound, construct or polypeptide of the invention comprising at least one Nanobody (or ISV) of the invention may have an increased half-life, compared to the corresponding amino acid sequence of the invention. Some preferred, but non-limiting examples of such Nanobodies (or ISV's), compounds and polypeptides will become clear to the skilled person based on the further disclosure herein, and for example comprise Nanobodies (or ISV's) sequences or polypeptides of the invention that have been chemically modified to increase the half-life thereof (for example, by means of pegylation); amino acid sequences of the invention that comprise at least one additional binding site for binding to a serum protein (such as serum albumin, see for example EP 0 368 684 B1, page 4); or polypeptides of the invention that comprise at least one Nanobody (or ISV) of the invention that is linked to at least one moiety (and in particular at least one amino acid sequence) that increases the half-life of the Nanobody (or ISV) of the invention. Examples of polypeptides of the invention that comprise such half-life extending moieties or amino acid sequences will become clear to the skilled person based on the further disclosure herein; and for example include, without limitation, polypeptides in which the one or more Nanobodies (or ISV's) of the invention are suitable linked to one or more serum proteins or fragments thereof (such as serum albumin or suitable fragments thereof) or to one or more binding units that can bind to serum proteins (such as, for example, Nanobodies (or ISV's) or (single) domain antibodies that can bind to serum proteins such as serum albumin, serum immunoglobulins such as IgG, or transferrin); polypeptides in which a Nanobody (or ISV) of the invention is linked to an Fc portion (such as a human Fc) or a suitable part or fragment thereof; or polypeptides in which the one or more Nanobodies (or ISV's) of the invention are suitable linked to one or more small proteins or peptides that can bind to serum proteins (such as, without limitation, the proteins and peptides described in WO 91/01743, WO 01/45746, WO 02/076489 and to the US provisional application of Ablynx N.V. entitled “Peptides capable of binding to serum proteins” of Ablynx N.V. filed on Dec. 5, 2006 (see also PCT/EP/2007/063348).

Again, as will be clear to the skilled person, such Nanobodies (or ISV's), compounds, constructs or polypeptides may contain one or more additional groups, residues, moieties or binding units, such as one or more further amino acid sequences and in particular one or more additional Nanobodies (or ISV's) (i.e. not directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), so as to provide a tri- of multispecific Nanobody (or ISV) construct.

Generally, the Nanobodies (or ISV's) of the invention (or compounds, constructs or polypeptides comprising the same) with increased half-life preferably have a half-life that is at least 1.5 times, preferably at least 2 times, such as at least 5 times, for example at least 10 times or more than 20 times, greater than the half-life of the corresponding amino acid sequence of the invention per se. For example, the Nanobodies (or ISV's), compounds, constructs or polypeptides of the invention with increased half-life may have a half-life that is increased with more than 1 hours, preferably more than 2 hours, more preferably more than 6 hours, such as more than 12 hours, or even more than 24, 48 or 72 hours, compared to the corresponding amino acid sequence of the invention per se.

In a preferred, but non-limiting aspect of the invention, such Nanobodies (or ISV's), compound, constructs or polypeptides of the invention exhibit a serum half-life in human of at least about 12 hours, preferably at least 24 hours, more preferably at least 48 hours, even more preferably at least 72 hours or more. For example, compounds or polypeptides of the invention may have a half-life of at least 5 days (such as about 5 to 10 days), preferably at least 9 days (such as about 9 to 14 days), more preferably at least about 10 days (such as about 10 to 15 days), or at least about 11 days (such as about 11 to 16 days), more preferably at least about 12 days (such as about 12 to 18 days or more), or more than 14 days (such as about 14 to 19 days).

In another one aspect of the invention, a polypeptide of the invention comprises one or more (such as two or preferably one) Nanobodies (or ISV's) of the invention linked (optionally via one or more suitable linker sequences) to one or more (such as two and preferably one) amino acid sequences that allow the resulting polypeptide of the invention to cross the blood brain barrier. In particular, said one or more amino acid sequences that allow the resulting polypeptides of the invention to cross the blood brain barrier may be one or more (such as two and preferably one) Nanobodies (or ISV's), such as the Nanobodies (or ISV's) described in WO 02/057445, of which FC44 (SEQ ID NO: 189 of WO 06/040153) and FC5 (SEQ ID NO: 190 of WO 06/040154) are preferred examples.

In particular, polypeptides comprising one or more Nanobodies (or ISV's) of the invention are preferably such that they:

-   -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a dissociation constant (K_(D)) of         10⁻⁵ to 10⁻¹² moles/liter or less, and preferably 10⁻⁷ to 10⁻¹²         moles/liter or less and more preferably 10⁻⁸ to 10⁻¹²         moles/liter (i.e. with an association constant (K_(A)) of 10⁵ to         10¹² liter/moles or more, and preferably 10⁷ to 10¹² liter/moles         or more and more preferably 10⁸ to 10¹² liter/moles);         and/or such that they:     -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a k_(on)-rate of between 10² M⁻¹s⁻¹ to         about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹,         more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as         between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹;         and/or such that they:     -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a k_(off) rate between 1 s⁻¹         (t_(1/2)=0.69 s) and 10⁻⁶ s⁻¹ (providing a near irreversible         complex with a t_(1/2) of multiple days), preferably between         10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶         s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹.

Preferably, a polypeptide that contains only one amino acid sequence of the invention is preferably such that it will bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity less than 500 nM, preferably less than 200 nM, more preferably less than 10 nM, more preferably less than 1 nM, such as less than 500 pM. In this respect, it will be clear to the skilled person that a polypeptide that contains two or more Nanobodies (or ISV's) of the invention may bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an increased avidity, compared to a polypeptide that contains only one amino acid sequence of the invention.

Some preferred IC₅₀ values for binding of the amino acid sequences or polypeptides of the invention to any of 1L-17A, IL-17F and/or IL-17A/F including combinations thereof will become clear from the further description and examples herein.

Another aspect of this invention relates to a nucleic acid that encodes an amino acid sequence of the invention (such as a Nanobody (or ISV) of the invention) or a polypeptide of the invention comprising the same. Again, as generally described herein for the nucleic acids of the invention, such a nucleic acid may be in the form of a genetic construct, as defined herein.

In another aspect, the invention relates to host or host cell that expresses or that is capable of expressing an amino acid sequence (such as a Nanobody (or ISV)) of the invention and/or a polypeptide of the invention comprising the same; and/or that contains a nucleic acid of the invention. Some preferred but non-limiting examples of such hosts or host cells will become clear from the further description herein.

Another aspect of the invention relates to a product or composition containing or comprising at least one amino acid sequence of the invention, at least one polypeptide of the invention and/or at least one nucleic acid of the invention, and optionally one or more further components of such compositions known per se, i.e. depending on the intended use of the composition. Such a product or composition may for example be a pharmaceutical composition (as described herein), a veterinary composition or a product or composition for diagnostic use (as also described herein). Some preferred but non-limiting examples of such products or compositions will become clear from the further description herein.

The invention further relates to methods for preparing or generating the amino acid sequences, compounds, constructs, polypeptides, nucleic acids, host cells, products and compositions described herein. Some preferred but non-limiting examples of such methods will become clear from the further description herein.

The invention further relates to applications and uses of the amino acid sequences, compounds, constructs, polypeptides, nucleic acids, host cells, products and compositions described herein, as well as to methods for the prevention and/or treatment for diseases and disorders associated with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. Some preferred but non-limiting applications and uses will become clear from the further description herein.

Other aspects, embodiments, advantages and applications of the invention will also become clear from the further description hereinbelow.

Generally, it should be noted that the term Nanobody (or ISV) as used herein in its broadest sense is not limited to a specific biological source or to a specific method of preparation. For example, as will be discussed in more detail below, the Nanobodies (or ISV's) of the invention can generally be obtained by any of the techniques (1) to (8) mentioned on pages 61 and 62 of WO 08/020079, or any other suitable technique known per se. One preferred class of Nanobodies (or ISV's) corresponds to the V_(HH) domains of naturally occurring heavy chain antibodies directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. As further described herein, such V_(HH) sequences can generally be generated or obtained by suitably immunizing a species of Camelid with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof (i.e. so as to raise an immune response and/or heavy chain antibodies directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), by obtaining a suitable biological sample from said Camelid (such as a blood sample, serum sample or sample of B-cells), and by generating V_(HH) sequences directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, starting from said sample, using any suitable technique known per se. Such techniques will be clear to the skilled person and/or are further described herein.

Alternatively, such naturally occurring V_(HH) domains against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, can be obtained from naïve libraries of Camelid V_(HH) sequences, for example by screening such a library using any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, or at least one part, fragment, antigenic determinant or epitope thereof using one or more screening techniques known per se. Such libraries and techniques are for example described in WO 99/37681, WO 01/90190, WO 03/025020 and WO 03/035694. Alternatively, improved synthetic or semi-synthetic libraries derived from naïve V_(HH) libraries may be used, such as V_(HH) libraries obtained from naïve V_(HH) libraries by techniques such as random mutagenesis and/or CDR shuffling, as for example described in WO 00/43507.

Thus, in another aspect, the invention relates to a method for generating Nanobodies (or ISV's), that are directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof. In one aspect, said method at least comprises the steps of:

-   a) providing a set, collection or library of Nanobody (or ISV)     sequences; and -   b) screening said set, collection or library of Nanobody (or ISV)     sequences for Nanobody (or ISV) sequences that can bind to and/or     have affinity for any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof;     and -   c) isolating the Nanobody (or ISV) or Nanobodies (or ISV's) that can     bind to and/or have affinity for any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof.

In such a method, the set, collection or library of Nanobody (or ISV) sequences may be a naïve set, collection or library of Nanobody (or ISV) sequences; a synthetic or semi-synthetic set, collection or library of Nanobody (or ISV) sequences; and/or a set, collection or library of Nanobody (or ISV) sequences that have been subjected to affinity maturation.

In a preferred aspect of this method, the set, collection or library of Nanobody (or ISV) sequences may be an immune set, collection or library of Nanobody (or ISV) sequences, and in particular an immune set, collection or library of V_(HH) sequences, that have been derived from a species of Camelid that has been suitably immunized with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or with a suitable antigenic determinant based thereon or derived therefrom, such as an antigenic part, fragment, region, domain, loop or other epitope thereof. In one particular aspect, said antigenic determinant may be an extracellular part, region, domain, loop or other extracellular epitope(s).

In the above methods, the set, collection or library of Nanobody (or ISV) or V_(HH) sequences may be displayed on a phage, phagemid, ribosome or suitable micro-organism (such as yeast), such as to facilitate screening. Suitable methods, techniques and host organisms for displaying and screening (a set, collection or library of) Nanobody (or ISV) sequences will be clear to the person skilled in the art, for example on the basis of the further disclosure herein. Reference is also made to WO 03/054016 and to the review by Hoogenboom in Nature Biotechnology, 23, 9, 1105-1116 (2005).

In another aspect, the method for generating Nanobody (or ISV) sequences comprises at least the steps of:

-   a) providing a collection or sample of cells derived from a species     of Camelid that express immunoglobulin sequences; -   b) screening said collection or sample of cells for (i) cells that     express an immunoglobulin sequence that can bind to and/or have     affinity for any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof; and (ii) cells that express heavy chain     antibodies, in which substeps (i) and (ii) can be performed     essentially as a single screening step or in any suitable order as     two separate screening steps, so as to provide at least one cell     that expresses a heavy chain antibody that can bind to and/or has     affinity for any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof;     and -   c) either (i) isolating from said cell the V_(HH) sequence present     in said heavy chain antibody; or (ii) isolating from said cell a     nucleic acid sequence that encodes the V_(HH) sequence present in     said heavy chain antibody, followed by expressing said V_(HH)     domain.

In the method according to this aspect, the collection or sample of cells may for example be a collection or sample of B-cells. Also, in this method, the sample of cells may be derived from a Camelid that has been suitably immunized with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or a suitable antigenic determinant based thereon or derived therefrom, such as an antigenic part, fragment, region, domain, loop or other epitope thereof. In one particular aspect, said antigenic determinant may be an extracellular part, region, domain, loop or other extracellular epitope(s).

The above method may be performed in any suitable manner, as will be clear to the skilled person. Reference is for example made to EP 0 542 810, WO 05/19824, WO 04/051268 and WO 04/106377. The screening of step b) is preferably performed using a flow cytometry technique such as FACS. For this, reference is for example made to Lieby et al., Blood, Vol. 97, No. 12, 3820. Particular reference is made to the so-called “Nanoclone™” technique described in International application WO 06/079372 by Ablynx N.V.

In another aspect, the method for generating an amino acid sequence directed against any of IL-17A, IL-17F and/or IL-l7A/F including combinations thereof may comprise at least the steps of:

-   a) providing a set, collection or library of nucleic acid sequences     encoding heavy chain antibodies or Nanobody (or ISV) sequences; -   b) screening said set, collection or library of nucleic acid     sequences for nucleic acid sequences that encode a heavy chain     antibody or a Nanobody (or ISV) sequence that can bind to and/or has     affinity for any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof;     and -   c) isolating said nucleic acid sequence, followed by expressing the     V_(HH) sequence present in said heavy chain antibody or by     expressing said Nanobody (or ISV) sequence, respectively.

In such a method, the set, collection or library of nucleic acid sequences encoding heavy chain antibodies or Nanobody (or ISV) sequences may for example be a set, collection or library of nucleic acid sequences encoding a naïve set, collection or library of heavy chain antibodies or V_(HH) sequences; a set, collection or library of nucleic acid sequences encoding a synthetic or semi-synthetic set, collection or library of Nanobody (or ISV) sequences; and/or a set, collection or library of nucleic acid sequences encoding a set, collection or library of Nanobody (or ISV) sequences that have been subjected to affinity maturation.

In a preferred aspect of this method, the set, collection or library of nucleic acid sequences may be an immune set, collection or library of nucleic acid sequences encoding heavy chain antibodies or V_(HH) sequences derived from a Camelid that has been suitably immunized with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof or with a suitable antigenic determinant based thereon or derived therefrom, such as an antigenic part, fragment, region, domain, loop or other epitope thereof. In one particular aspect, said antigenic determinant may be an extracellular part, region, domain, loop or other extracellular epitope(s).

In the above methods, the set, collection or library of nucleotide sequences may be displayed on a phage, phagemid, ribosome or suitable micro-organism (such as yeast), such as to facilitate screening. Suitable methods, techniques and host organisms for displaying and screening (a set, collection or library of) nucleotide sequences encoding amino acid sequences will be clear to the person skilled in the art, for example on the basis of the further disclosure herein. Reference is also made to WO 03/054016 and to the review by Hoogenboom in Nature Biotechnology, 23, 9, 1105-1116 (2005).

As will be clear to the skilled person, the screening step of the methods described herein can also be performed as a selection step. Accordingly the term “screening” as used in the present description can comprise selection, screening or any suitable combination of selection and/or screening techniques. Also, when a set, collection or library of sequences is used, it may contain any suitable number of sequences, such as 1, 2, 3 or about 5, 10, 50, 100, 500, 1000, 5000, 10⁴, 10⁵, 10⁶, 10⁷, 10⁸ or more sequences.

Also, one or more or all of the sequences in the above set, collection or library of amino acid sequences may be obtained or defined by rational, or semi-empirical approaches such as computer modeling techniques or biostatics or datamining techniques.

Furthermore, such a set, collection or library can comprise one, two or more sequences that are variants from one another (e.g. with designed point mutations or with randomized positions), compromise multiple sequences derived from a diverse set of naturally diversified sequences (e.g. an immune library)), or any other source of diverse sequences (as described for example in Hoogenboom et al, Nat Biotechnol 23:1105, 2005 and Binz et al, Nat Biotechnol 2005, 23:1247). Such set, collection or library of sequences can be displayed on the surface of a phage particle, a ribosome, a bacterium, a yeast cell, a mammalian cell, and linked to the nucleotide sequence encoding the amino acid sequence within these carriers. This makes such set, collection or library amenable to selection procedures to isolate the desired amino acid sequences of the invention. More generally, when a sequence is displayed on a suitable host or host cell, it is also possible (and customary) to first isolate from said host or host cell a nucleotide sequence that encodes the desired sequence, and then to obtain the desired sequence by suitably expressing said nucleotide sequence in a suitable host organism. Again, this can be performed in any suitable manner known per se, as will be clear to the skilled person.

Yet another technique for obtaining V_(HH) sequences or Nanobody (or ISV) sequences directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof involves suitably immunizing a transgenic mammal that is capable of expressing heavy chain antibodies (i.e. so as to raise an immune response and/or heavy chain antibodies directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), obtaining a suitable biological sample from said transgenic mammal that contains (nucleic acid sequences encoding) said V_(HH) sequences or Nanobody (or ISV) sequences (such as a blood sample, serum sample or sample of B-cells), and then generating V_(HH) sequences directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, starting from said sample, using any suitable technique known per se (such as any of the methods described herein or a hybridoma technique). For example, for this purpose, the heavy chain antibody-expressing mice and the further methods and techniques described in WO 02/085945, WO 04/049794 and WO 06/008548 and Janssens et al., Proc. Natl. Acad. Sci. USA. 2006 Oct. 10; 103(41):15130-5 can be used. For example, such heavy chain antibody expressing mice can express heavy chain antibodies with any suitable (single) variable domain, such as (single) variable domains from natural sources (e.g. human (single) variable domains, Camelid (single) variable domains or shark (single) variable domains), as well as for example synthetic or semi-synthetic (single) variable domains.

The invention also relates to the V_(HH) sequences or Nanobody (or ISV) sequences that are obtained by the above methods, or alternatively by a method that comprises the one of the above methods and in addition at least the steps of determining the nucleotide sequence or amino acid sequence of said V_(HH) sequence or Nanobody (or ISV) sequence; and of expressing or synthesizing said V_(HH) sequence or Nanobody (or ISV) sequence in a manner known per se, such as by expression in a suitable host cell or host organism or by chemical synthesis.

As mentioned herein, a particularly preferred class of Nanobodies (or ISV's) of the invention comprises Nanobodies (or ISV's) with an amino acid sequence that corresponds to the amino acid sequence of a naturally occurring V_(HH) domain, but that has been “humanized”, i.e. by replacing one or more amino acid residues in the amino acid sequence of said naturally occurring V_(HH) sequence (and in particular in the framework sequences) by one or more of the amino acid residues that occur at the corresponding position(s) in a V_(H) domain from a conventional 4-chain antibody from a human being (e.g. indicated above), as further described on, and using the techniques mentioned on, page 63 of WO 08/020079. Another particularly preferred class of Nanobodies (or ISV's) of the invention comprises Nanobodies (or ISV's) with an amino acid sequence that corresponds to the amino acid sequence of a naturally occurring V_(H) domain, but that has been “camelized”, i.e. by replacing one or more amino acid residues in the amino acid sequence of a naturally occurring V_(H) domain from a conventional 4-chain antibody by one or more of the amino acid residues that occur at the corresponding position(s) in a V_(HH) domain of a heavy chain antibody, as further described on, and using the techniques mentioned on, page 63 of WO 08/020079.

Other suitable methods and techniques for obtaining the Nanobodies (or ISV's) of the invention and/or nucleic acids encoding the same, starting from naturally occurring V_(H) sequences or preferably V_(HH) sequences, will be clear from the skilled person, and may for example include the techniques that are mentioned on page 64 of WO 08/00279. As mentioned herein, Nanobodies (or ISV's) may in particular be characterized by the presence of one or more “Hallmark residues” (as described herein) in one or more of the framework sequences.

Generally, immunoglobulin single variable domains (in particular V_(HH) sequences and sequence optimized immunoglobulin single variable domains) can in particular be characterized by the presence of one or more “Hallmark residues” (as described herein) in one or more of the framework sequences (again as further described herein).

Thus, generally, an immunoglobulin single variable domain can be defined as an amino acid sequence with the (general) structure

-   -   FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4         in which FR1 to FR4 refer to framework regions 1 to 4,         respectively, and in which CDR1 to CDR3 refer to the         complementarity determining regions 1 to 3, respectively.

In a preferred aspect, the invention provides polypeptides comprising at least an immunoglobulin single variable domain that is an amino acid sequence with the (general) structure

-   -   FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4         in which FR1 to FR4 refer to framework regions 1 to 4,         respectively, and in which CDR1 to CDR3 refer to the         complementarity determining regions 1 to 3, respectively, and in         which:

-   i) at least one of the amino acid residues at positions 11, 37, 44,     45, 47, 83, 84, 103, 104 and 108 according to the Kabat numbering     are chosen from the Hallmark residues mentioned in Table B-2 below;     and in which:

-   ii) said amino acid sequence has at least 80%, more preferably 90%,     even more preferably 95% amino acid identity with at least one of     the immunoglobulin single variable domains as shown in WO     2009/138519 (see SEQ ID NO:s 1 to 125 herein, or in WO 2009/138519),     in which for the purposes of determining the degree of amino acid     identity, the amino acid residues that form the CDR sequences     (indicated with X in the sequences) are disregarded: and in which:

-   iii) the CDR sequences are generally as further defined herein (e.g.     the CDR1, CDR2 and CDR3 in a combination as provided in Table (B-2),     note that the CDR definitions are calculated according to the Kabat     numbering system).

TABLE B-2 Hallmark Residues in VHHs Position Human V_(H)3 Hallmark Residues  11 L, V; L, S, V, M, W, F, T, Q, E, A, R, G, K, predominantly L Y, N, P, I; preferably L  37 V, I, F; F⁽¹⁾, Y, V, L, A, H, S, I, W, C, N, G, usually V D, T, P, preferably F⁽¹⁾ or Y  44⁽⁸⁾ G E⁽³⁾, Q⁽³⁾, G⁽²⁾, D, A, K, R, L, P, S, V, H, T, N, W, M, I; preferably G⁽²⁾, E⁽³⁾ or Q⁽³⁾; most preferably G⁽²⁾ or Q⁽³⁾  45⁽⁸⁾ L L⁽²⁾, R⁽³⁾, P, H, F, G, Q, S, E, T, Y, C, I, D, V; preferably L⁽²⁾ or R⁽³⁾  47⁽⁸⁾ W, Y F⁽¹⁾, L⁽¹⁾ or W⁽²⁾ G, I, S, A, V, M, R, Y, E, P, T, C, H, K, Q, N, D; preferably W⁽²⁾, L⁽¹⁾ or F⁽¹⁾  83 R or K; R, K⁽⁵⁾, T, E⁽⁵⁾, Q, N, S, I, V, G, M, L, usually R A, D, Y, H; preferably K or R; most preferably K  84 A, T, D; P⁽⁵⁾, S, H, L, A, V, I, T, F, D, R, Y, N, Q, predominantly A G, E; preferably P 103 W W⁽⁴⁾, R⁽⁶⁾, G, S, K, A, M, Y, L, F, T, N, V, Q, P⁽⁶⁾, E, C; preferably W 104 G G, A, S, T, D, P, N, E, C, L; preferably G 108 L, M or T; Q, L⁽⁷⁾, R, P, E, K, S, T, M, A, H; predominantly L preferably Q or L⁽⁷⁾ Notes: ⁽¹⁾In particular, but not exclusively, in combination with KERE or KQRE at positions 43-46. ⁽²⁾Usually as GLEW at positions 44-47. ⁽³⁾Usually as KERE or KQRE at positions 43-46, e.g. as KEREL, KEREF, KQREL, KQREF, KEREG, KQREW or KQREG at positions 43-47. Alternatively, also sequences such as TERE (for example TEREL), TQRE (for example TQREL), KECE (for example KECEL or KECER), KQCE (for example KQCEL), RERE (for example REREG), RQRE (for example RQREL, RQREF or RQREW), QERE (for example QEREG), QQRE, (for example QQREW, QQREL or QQREF), KGRE (for example KGREG), KDRE (for example KDREV) are possible. Some other possible, but less preferred sequences include for example DECKL and NVCEL. ⁽⁴⁾With both GLEW at positions 44-47 and KERE or KQRE at positions 43-46. ⁽⁵⁾Often as KP or EP at positions 83-84 of naturally occurring V_(HH) domains. ⁽⁶⁾In particular, but not exclusively, in combination with GLEW at positions 44-47. ⁽⁷⁾With the proviso that when positions 44-47 are GLEW, position 108 is always Q in (non-humanized) V sequences that also contain a W at 103. ⁽⁸⁾The GLEW group also contains GLEW-like sequences at positions 44-47, such as for example GVEW, EPEW, GLER, DQEW, DLEW, GIEW, ELEW, GPEW, EWLP, GPER, GLER and ELEW. Again, such immunoglobulin single variable domains may be derived in any suitable manner and from any suitable source, and may for example he naturally occurring V _(HH) sequences (i.e. from a suitable species of Camelid, e.g. llama) or synthetic or semi synthetic VHs or VLs (e.g. from human). Such immunoglobulin single variable domains may include “humanized” or otherwise “sequence optimized” VHHs, “camelized” immunoglobulin sequences (and in particular camelized heavy chain variable domain sequences, i.e. camelized VHs), as well as human VHs, human VLs, camelid VHHs that have been altered by techniques such as affinity maturation (for example, starting from synthetic, random or naturally occurring immunoglobulin sequences), CDR grafting, veneering, combining fragments derived from different immunoglobulin sequences, PCR assembly using overlapping primers, and similar techniques for engineering immunoglobulin sequences well known to the skilled person; or any suitable combination of any of the foregoing as further described herein.

In another preferred, but non-limiting aspect, the invention relates to a Nanobody (or ISV) as described above, in which the CDR sequences have at least 70% amino acid identity, preferably at least 80% amino acid identity, more preferably at least 90% amino acid identity, such as 95% amino acid identity or more or even essentially 100% amino acid identity with the CDR sequences of at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1). This degree of amino acid identity can for example be determined by determining the degree of amino acid identity (in a manner described herein) between said Nanobody (or ISV) and one or more of the sequences of SEQ ID NOs: 623 to 693 (see Table A-1), in which the amino acid residues that form the framework regions are disregarded. Such Nanobodies (or ISV's) can can be as further described herein.

As already mentioned herein, another preferred but non-limiting aspect of the invention relates to a Nanobody (or ISV) with an amino acid sequence that is chosen from the group consisting of SEQ ID NOs: 623 to 693 (see Table A-1) or from the group consisting of from amino acid sequences that have more than 80%, preferably more than 90%, more preferably more than 95%, such as 99% or more sequence identity (as defined herein) with at least one of the amino acid sequences of SEQ ID NOs: 623 to 693 (see Table A-1).

Also, in the above Nanobodies (or ISV's):

-   i) any amino acid substitution (when it is not a humanizing     substitution as defined herein) is preferably, and compared to the     corresponding amino acid sequence of SEQ ID NOs: 623 to 693 (see     Table A-1), a conservative amino acid substitution, (as defined     herein);     and/or: -   ii) its amino acid sequence preferably contains either only amino     acid substitutions, or otherwise preferably no more than 5,     preferably no more than 3, and more preferably only 1 or 2 amino     acid deletions or insertions, compared to the corresponding amino     acid sequence of SEQ ID NOs: 623 to 693 (see Table A-1);     and/or -   iii) the CDR's may be CDR's that are derived by means of affinity     maturation, for example starting from the CDR's of to the     corresponding amino acid sequence of SEQ ID NOs: 623 to 693 (see     Table A-1).

Preferably, the CDR sequences and FR sequences in the Nanobodies (or ISV's) of the invention are such that the Nanobodies (or ISV's) of the invention (and polypeptides of the invention comprising the same):

-   -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a dissociation constant (K_(D)) of         10⁻⁵ to 10⁻¹² moles/liter or less, and preferably 10⁻⁷ to 10⁻¹²         moles/liter or less and more preferably 10⁻⁸ to 10⁻¹²         moles/liter (i.e. with an association constant (K_(A)) of 10⁵ to         10¹² liter/moles or more, and preferably 10⁷ to 10¹² liter/moles         or more and more preferably 10⁸ to 10¹² liter/moles);         and/or such that they:     -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a k_(on)-rate of between 10² M⁻¹s⁻¹ to         about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹,         more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as         between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹;         and/or such that they:     -   bind to any of IL-17A, IL-17F and/or IL-17A/F including         combinations thereof with a k_(off) rate between 1 s⁻¹         (t_(1/2)=0.69 s) and 10⁻⁶ s⁻¹ (providing a near irreversible         complex with a t_(1/2) of multiple days), preferably between         10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶         s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹.

Preferably, CDR sequences and FR sequences present in the Nanobodies (or ISV's) of the invention are such that the Nanobodies (or ISV's) of the invention will bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity less than 500 nM, preferably less than 200 nM, more preferably less than 10 nM, such as less than 500 pM.

According to one non-limiting aspect of the invention, a Nanobody (or ISV) may be as defined herein, but with the proviso that it has at least “one amino acid difference” (as defined herein) in at least one of the framework regions compared to the corresponding framework region of a naturally occurring human V_(H) domain, and in particular compared to the corresponding framework region of DP-47. More specifically, according to one non-limiting aspect of the invention, a Nanobody (or ISV) may be as defined herein, but with the proviso that it has at least “one amino acid difference” (as defined herein) at at least one of the Hallmark residues (including those at positions 108, 103 and/or 45) compared to the corresponding framework region of a naturally occurring human V_(H) domain, and in particular compared to the corresponding framework region of DP-47. Usually, a Nanobody (or ISV) will have at least one such amino acid difference with a naturally occurring V_(H) domain in at least one of FR2 and/or FR4, and in particular at at least one of the Hallmark residues in FR2 and/or FR4 (again, including those at positions 108, 103 and/or 45).

Also, a humanized Nanobody (or ISV) of the invention may be as defined herein, but with the proviso that it has at least “one amino acid difference” (as defined herein) in at least one of the framework regions compared to the corresponding framework region of a naturally occurring V_(HH) domain. More specifically, according to one non-limiting aspect of the invention, a humanized Nanobody (or ISV) may be as defined herein, but with the proviso that it has at least “one amino acid difference” (as defined herein) at at least one of the Hallmark residues (including those at positions 108, 103 and/or 45) compared to the corresponding framework region of a naturally occurring V_(HH) domain. Usually, a humanized Nanobody (or ISV) will have at least one such amino acid difference with a naturally occurring V_(HH) domain in at least one of FR2 and/or FR4, and in particular at at least one of the Hallmark residues in FR2 and/or FR4 (again, including those at positions 108, 103 and/or 45).

As will be clear from the disclosure herein, it is also within the scope of the invention to use natural or synthetic analogs, mutants, variants, alleles, homologs and orthologs (herein collectively referred to as “analogs”) of the Nanobodies (or ISV's) of the invention as defined herein, and in particular analogs of the Nanobodies (or ISV's) of SEQ ID NOs 623 to 693 (see Table A-1). Thus, according to one aspect of the invention, the term “Nanobody (or ISV) of the invention” in its broadest sense also covers such analogs.

Generally, in such analogs, one or more amino acid residues may have been replaced, deleted and/or added, compared to the Nanobodies (or ISV's) of the invention as defined herein. Such substitutions, insertions or deletions may be made in one or more of the framework regions and/or in one or more of the CDR's. When such substitutions, insertions or deletions are made in one or more of the framework regions, they may be made at one or more of the Hallmark residues and/or at one or more of the other positions in the framework residues, although substitutions, insertions or deletions at the Hallmark residues are generally less preferred (unless these are suitable humanizing substitutions as described herein).

By means of non-limiting examples, a substitution may for example be a conservative substitution (as described herein) and/or an amino acid residue may be replaced by another amino acid residue that naturally occurs at the same position in another V_(HH) domain (see Tables B-4 to B-7 for some non-limiting examples of such substitutions), although the invention is generally not limited thereto. Thus, any one or more substitutions, deletions or insertions, or any combination thereof, that either improve the properties of the Nanobody (or ISV) of the invention or that at least do not detract too much from the desired properties or from the balance or combination of desired properties of the Nanobody (or ISV) of the invention (i.e. to the extent that the Nanobody (or ISV) is no longer suited for its intended use) are included within the scope of the invention. A skilled person will generally be able to determine and select suitable substitutions, deletions or insertions, or suitable combinations of thereof, based on the disclosure herein and optionally after a limited degree of routine experimentation, which may for example involve introducing a limited number of possible substitutions and determining their influence on the properties of the Nanobodies (or ISV's) thus obtained.

For example, and depending on the host organism used to express the Nanobody (or ISV) or polypeptide of the invention, such deletions and/or substitutions may be designed in such a way that one or more sites for post-translational modification (such as one or more glycosylation sites) are removed, as will be within the ability of the person skilled in the art. Alternatively, substitutions or insertions may be designed so as to introduce one or more sites for attachment of functional groups (as described herein), for example to allow site-specific pegylation (again as described herein).

As can be seen from the data on the V_(HH) entropy and V_(HH) variability given in Tables B-4 to B-7 above, some amino acid residues in the framework regions are more conserved than others. Generally, although the invention in its broadest sense is not limited thereto, any substitutions, deletions or insertions are preferably made at positions that are less conserved. Also, generally, amino acid substitutions are preferred over amino acid deletions or insertions.

The analogs are preferably such that they can bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein for the Nanobodies (or ISV's) of the invention.

The analogs are preferably also such that they retain the favourable properties the Nanobodies (or ISV's), as described herein.

Also, according to one preferred aspect, the analogs have a degree of sequence identity of at least 70%, preferably at least 80%, more preferably at least 90%, such as at least 95% or 99% or more; and/or preferably have at most 20, preferably at most 10, even more preferably at most 5, such as 4, 3, 2 or only 1 amino acid difference (as defined herein), with one of the Nanobodies (or ISV's) of SEQ ID NOs: 623 to 693 (see Table A-1).

Also, the framework sequences and CDR's of the analogs are preferably such that they are in accordance with the preferred aspects defined herein. More generally, as described herein, the analogs will have (a) a Q at position 108; and/or (b) a charged amino acid or a cysteine residue at position 45 and preferably an E at position 44, and more preferably E at position 44 and R at position 45; and/or (c) P, R or S at position 103.

One preferred class of analogs of the Nanobodies (or ISV's) of the invention comprise Nanobodies (or ISV's) that have been humanized (i.e. compared to the sequence of a naturally occurring Nanobody (or ISV) of the invention). As mentioned in the background art cited herein, such humanization generally involves replacing one or more amino acid residues in the sequence of a naturally occurring V_(HH) with the amino acid residues that occur at the same position in a human V_(H) domain, such as a human V_(H)3 domain. Examples of possible humanizing substitutions or combinations of humanizing substitutions will be clear to the skilled person, for example from the Tables herein, from the possible humanizing substitutions mentioned in the background art cited herein, and/or from a comparison between the sequence of a Nanobody (or ISV) and the sequence of a naturally occurring human V_(H) domain.

The humanizing substitutions should be chosen such that the resulting humanized Nanobodies (or ISV's) still retain the favourable properties of Nanobodies (or ISV's) as defined herein, and more preferably such that they are as described for analogs in the preceding paragraphs. A skilled person will generally be able to determine and select suitable humanizing substitutions or suitable combinations of humanizing substitutions, based on the disclosure herein and optionally after a limited degree of routine experimentation, which may for example involve introducing a limited number of possible humanizing substitutions and determining their influence on the properties of the Nanobodies (or ISV's) thus obtained.

Generally, as a result of humanization, the Nanobodies (or ISV's) of the invention may become more “human-like”, while still retaining the favorable properties of the Nanobodies (or ISV's) of the invention as described herein. As a result, such humanized Nanobodies (or ISV's) may have several advantages, such as a reduced immunogenicity, compared to the corresponding naturally occurring V_(HH) domains. Again, based on the disclosure herein and optionally after a limited degree of routine experimentation, the skilled person will be able to select humanizing substitutions or suitable combinations of humanizing substitutions which optimize or achieve a desired or suitable balance between the favourable properties provided by the humanizing substitutions on the one hand and the favourable properties of naturally occurring V_(HH) domains on the other hand.

The Nanobodies (or ISV's) of the invention may be suitably humanized at any framework residue(s), such as at one or more Hallmark residues (as defined herein) or at one or more other framework residues (i.e. non-Hallmark residues) or any suitable combination thereof. One preferred humanizing substitution for Nanobodies (or ISV's) of the “P,R,S-103 group” or the “KERE group” is Q108 into L108. Nanobodies (or ISV's) of the “GLEW class” may also be humanized by a Q108 into L108 substitution, provided at least one of the other Hallmark residues contains a camelid (camelizing) substitution (as defined herein). For example, as mentioned above, one particularly preferred class of humanized Nanobodies (or ISV's) has GLEW or a GLEW-like sequence at positions 44-47; P, R or S (and in particular R) at position 103, and an L at position 108.

The humanized and other analogs, and nucleic acid sequences encoding the same, can be provided in any manner known per se, for example using one or more of the techniques mentioned on pages 103 and 104 of WO 08/020079.

Also, in addition to humanizing substitutions as described herein, the amino acid sequences of the invention may contain one or more other/further substitutions. Again, some preferred, but non-limiting examples of such other/further substitutions will become clear from the further description herein, and for example may include (and preferably essentially consist of) one or more of the following substitutions:

-   (a) one or more conservative amino acid substitutions; and/or -   (b) one or more substitutions in which a “camelid” amino acid     residue at a certain position is replaced by a different “camelid”     amino acid residue that occurs at said position, for which reference     is for example made to Tables A-6 to A-9 from PCT/EP2008/066365     (published on Jun. 4, 2009 as WO 09/068627), which mention the     various Camelid residues that occur as each amino acid position in     wild-type VHH's. Such substitutions may even comprise suitable     substitutions of an amino acid residue that occurs at a Hallmark     position with another amino acid residue that occurring at a     Hallmark position in a wild-type VHH (for which reference is for     example made to Tables A-6 to A-9 from PCT/EP2008/066365); and/or -   (c) one or more substitutions that improve the (other) properties of     the protein, such as substitutions that improve the long-term     stability and/or properties under storage of the protein. These may     for example and without limitation be substitutions that prevent or     reduce oxidation events (for example, of methionine residues); that     prevent or reduce pyroglutamate formation; and/or that prevent or     reduce isomerisation or deamidation of aspartic acids or asparagines     (for example, of DG, DS, NG or NS motifs). For such substitutions,     reference is for example made to the International application WO     09/095235, which is generally directed to methods for stabilizing     single immunoglobulin variable domains by means of such     substitutions, and also gives some specific example of suitable     substitutions (see for example pages 4 and 5 and pages 10 to 15).     One example of such substitution may be to replace an NS motif at     positions 82a and 82b with an NN motif (cf. Table B-6 of the present     description); -   (d) one or more substitutions that improve expression levels in an     intended host cell or host organism and/or other properties that are     relevant for production/expression in a desired host cell or host     organism. These may for example also include substitutions that     remove possible sites for (undesired) post-translational     modification and/or that otherwise reduce (undesired)     post-translational modification (such as, for example and without     limitation, possible glycosylation or phosphorylation), depending on     the host cell or host organism to be used for expression/production;     and also for example removing sites that may be susceptible to     proteolytic cleavage (again, depending on the host cell or host     organism to be used)

Some specific, but non-limiting examples of humanized and/or sequenced-optimized amino acid sequences of the invention are given in FIG. 7 and in SEQ ID NOs: 760 to 825, and each of these forms a further aspect of the present invention. Based on the further disclosure herein, the skilled person will be able to provide other humanized and/or sequenced-optimized amino acid sequences of the invention.

FIG. 8 and SEQ ID NOs: 826 to 837 give some preferred, but non-limiting examples of polypeptides of the invention based on humanized and/or sequenced-optimized amino acid sequences of the invention as building blocks, and and each of these forms a further aspect of the present invention. Based on the further disclosure herein, the skilled person will be able to provide other compounds and/or polypeptides of the invention that are based humanized and/or sequenced-optimized amino acid sequences of the invention.

As mentioned there, it will be also be clear to the skilled person that the Nanobodies (or ISV's) of the invention (including their analogs) can be designed and/or prepared starting from human V_(H) sequences (i.e. amino acid sequences or the corresponding nucleotide sequences), such as for example from human V_(H)3 sequences such as DP-47, DP-51 or DP-29, i.e. by introducing one or more camelizing substitutions (i.e. changing one or more amino acid residues in the amino acid sequence of said human V_(H) domain into the amino acid residues that occur at the corresponding position in a V_(HH) domain), so as to provide the sequence of a Nanobody (or ISV) of the invention and/or so as to confer the favourable properties of a Nanobody (or ISV) to the sequence thus obtained. Again, this can generally be performed using the various methods and techniques referred to in the previous paragraph, using an amino acid sequence and/or nucleotide sequence for a human V_(H) domain as a starting point.

Some preferred, but non-limiting camelizing substitutions can be derived from Tables B-4-B-7. It will also be clear that camelizing substitutions at one or more of the Hallmark residues will generally have a greater influence on the desired properties than substitutions at one or more of the other amino acid positions, although both and any suitable combination thereof are included within the scope of the invention. For example, it is possible to introduce one or more camelizing substitutions that already confer at least some the desired properties, and then to introduce further camelizing substitutions that either further improve said properties and/or confer additional favourable properties. Again, the skilled person will generally be able to determine and select suitable camelizing substitutions or suitable combinations of camelizing substitutions, based on the disclosure herein and optionally after a limited degree of routine experimentation, which may for example involve introducing a limited number of possible camelizing substitutions and determining whether the favourable properties of Nanobodies (or ISV's) are obtained or improved (i.e. compared to the original V_(H) domain).

Generally, however, such camelizing substitutions are preferably such that the resulting an amino acid sequence at least contains (a) a Q at position 108; and/or (b) a charged amino acid or a cysteine residue at position 45 and preferably also an E at position 44, and more preferably E at position 44 and R at position 45; and/or (c) P, R or S at position 103; and optionally one or more further camelizing substitutions. More preferably, the camelizing substitutions are such that they result in a Nanobody (or ISV) of the invention and/or in an analog thereof (as defined herein), such as in a humanized analog and/or preferably in an analog that is as defined in the preceding paragraphs.

Nanobodies (or ISV's) can also be derived from V_(H) domains by the incorporation of substitutions that are rare in nature, but nonetheless, structurally compatible with the VH domain fold. For example, but without being limiting, these substitutions may include on or more of the following: Gly at position 35, Ser, Val or Thr at position 37, Ser, Thr, Arg, Lys, His, Asp or Glu at position 39, Glu or His at position 45, Trp, Leu, Val, Ala, Thr, or Glu at position 47, S or R at position 50. (Barthelemy et al. J Biol Chem. 2008 Feb. 8; 283(6):3639-54. Epub 2007 Nov. 28)

As will also be clear from the disclosure herein, it is also within the scope of the invention to use parts or fragments, or combinations of two or more parts or fragments, of the Nanobodies (or ISV's) of the invention as defined herein, and in particular parts or fragments of the Nanobodies (or ISV's) of SEQ ID NOs: 623 to 693 (see Table A-1). Thus, according to one aspect of the invention, the term “Nanobody (or ISV) of the invention” in its broadest sense also covers such parts or fragments.

Generally, such parts or fragments of the Nanobodies (or ISV's) of the invention (including analogs thereof) have amino acid sequences in which, compared to the amino acid sequence of the corresponding full length Nanobody (or ISV) of the invention (or analog thereof), one or more of the amino acid residues at the N-terminal end, one or more amino acid residues at the C-terminal end, one or more contiguous internal amino acid residues, or any combination thereof, have been deleted and/or removed.

The parts or fragments are preferably such that they can bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein for the Nanobodies (or ISV's) of the invention.

Any part or fragment is preferably such that it comprises at least 10 contiguous amino acid residues, preferably at least 20 contiguous amino acid residues, more preferably at least 30 contiguous amino acid residues, such as at least 40 contiguous amino acid residues, of the amino acid sequence of the corresponding full length Nanobody (or ISV) of the invention.

Also, any part or fragment is such preferably that it comprises at least one of CDR1, CDR2 and/or CDR3 or at least part thereof (and in particular at least CDR3 or at least part thereof). More preferably, any part or fragment is such that it comprises at least one of the CDR's (and preferably at least CDR3 or part thereof) and at least one other CDR (i.e. CDR1 or CDR2) or at least part thereof, preferably connected by suitable framework sequence(s) or at least part thereof. More preferably, any part or fragment is such that it comprises at least one of the CDR's (and preferably at least CDR3 or part thereof) and at least part of the two remaining CDR's, again preferably connected by suitable framework sequence(s) or at least part thereof.

According to another particularly preferred, but non-limiting aspect, such a part or fragment comprises at least CDR3, such as FR3, CDR3 and FR4 of the corresponding full length Nanobody (or ISV) of the invention, i.e. as for example described in the International application WO 03/050531 (Lasters et al.).

As already mentioned above, it is also possible to combine two or more of such parts or fragments (i.e. from the same or different Nanobodies (or ISV's) of the invention), i.e. to provide an analog (as defined herein) and/or to provide further parts or fragments (as defined herein) of a Nanobody (or ISV) of the invention. It is for example also possible to combine one or more parts or fragments of a Nanobody (or ISV) of the invention with one or more parts or fragments of a human V_(H) domain.

According to one preferred aspect, the parts or fragments have a degree of sequence identity of at least 50%, preferably at least 60%, more preferably at least 70%, even more preferably at least 80%, such as at least 90%, 95% or 99% or more with one of the Nanobodies (or ISV's) of SEQ ID NO:s 623 to 693 (see Table A-1).

The parts and fragments, and nucleic acid sequences encoding the same, can be provided and optionally combined in any manner known per se. For example, such parts or fragments can be obtained by inserting a stop codon in a nucleic acid that encodes a full-sized Nanobody (or ISV) of the invention, and then expressing the nucleic acid thus obtained in a manner known per se (e.g. as described herein). Alternatively, nucleic acids encoding such parts or fragments can be obtained by suitably restricting a nucleic acid that encodes a full-sized Nanobody (or ISV) of the invention or by synthesizing such a nucleic acid in a manner known per se. Parts or fragments may also be provided using techniques for peptide synthesis known per se.

The invention in its broadest sense also comprises derivatives of the Nanobodies (or ISV's) of the invention. Such derivatives can generally be obtained by modification, and in particular by chemical and/or biological (e.g enzymatical) modification, of the Nanobodies (or ISV's) of the invention and/or of one or more of the amino acid residues that form the Nanobodies (or ISV's) of the invention.

Examples of such modifications, as well as examples of amino acid residues within the Nanobody (or ISV) sequence that can be modified in such a manner (i.e. either on the protein backbone but preferably on a side chain), methods and techniques that can be used to introduce such modifications and the potential uses and advantages of such modifications will be clear to the skilled person.

For example, such a modification may involve the introduction (e.g. by covalent linking or in an other suitable manner) of one or more functional groups, residues or moieties into or onto the Nanobody (or ISV) of the invention, and in particular of one or more functional groups, residues or moieties that confer one or more desired properties or functionalities to the Nanobody (or ISV) of the invention. Example of such functional groups will be clear to the skilled person.

For example, such modification may comprise the introduction (e.g. by covalent binding or in any other suitable manner) of one or more functional groups that increase the half-life, the solubility and/or the absorption of the Nanobody (or ISV) of the invention, that reduce the immunogenicity and/or the toxicity of the Nanobody (or ISV) of the invention, that eliminate or attenuate any undesirable side effects of the Nanobody (or ISV) of the invention, and/or that confer other advantageous properties to and/or reduce the undesired properties of the Nanobodies (or ISV's) and/or polypeptides of the invention; or any combination of two or more of the foregoing. Examples of such functional groups and of techniques for introducing them will be clear to the skilled person, and can generally comprise all functional groups and techniques mentioned in the general background art cited hereinabove as well as the functional groups and techniques known per se for the modification of pharmaceutical proteins, and in particular for the modification of antibodies or antibody fragments (including ScFv's and single domain antibodies), for which reference is for example made to Remington's Pharmaceutical Sciences, 16th ed., Mack Publishing Co., Easton, Pa. (1980). Such functional groups may for example be linked directly (for example covalently) to a Nanobody (or ISV) of the invention, or optionally via a suitable linker or spacer, as will again be clear to the skilled person.

One of the most widely used techniques for increasing the half-life and/or reducing the immunogenicity of pharmaceutical proteins comprises attachment of a suitable pharmacologically acceptable polymer, such as poly(ethyleneglycol) (PEG) or derivatives thereof (such as methoxypoly(ethyleneglycol) or mPEG). Generally, any suitable form of pegylation can be used, such as the pegylation used in the art for antibodies and antibody fragments (including but not limited to (single) domain antibodies and ScFv's); reference is made to for example Chapman, Nat. Biotechnol., 54, 531-545 (2002); by Veronese and Harris, Adv. Drug Deliv. Rev. 54, 453-456 (2003), by Harris and Chess, Nat. Rev. Drug. Discov., 2, (2003) and in WO 04/060965. Various reagents for pegylation of proteins are also commercially available, for example from Nektar Therapeutics, USA.

Preferably, site-directed pegylation is used, in particular via a cysteine-residue (see for example Yang et al., Protein Engineering, 16, 10, 761-770 (2003). For example, for this purpose, PEG may be attached to a cysteine residue that naturally occurs in a Nanobody (or ISV) of the invention, a Nanobody (or ISV) of the invention may be modified so as to suitably introduce one or more cysteine residues for attachment of PEG, or an amino acid sequence comprising one or more cysteine residues for attachment of PEG may be fused to the N- and/or C-terminus of a Nanobody (or ISV) of the invention, all using techniques of protein engineering known per se to the skilled person.

Preferably, for the Nanobodies (or ISV's) and proteins of the invention, a PEG is used with a molecular weight of more than 5000, such as more than 10,000 and less than 200,000, such as less than 100,000; for example in the range of 20,000-80,000.

Another, usually less preferred modification comprises N-linked or O-linked glycosylation, usually as part of co-translational and/or post-translational modification, depending on the host cell used for expressing the Nanobody (or ISV) or polypeptide of the invention.

Yet another modification may comprise the introduction of one or more detectable labels or other signal-generating groups or moieties, depending on the intended use of the labeled Nanobody (or ISV). Suitable labels and techniques for attaching, using and detecting them will be clear to the skilled person, and for example include, but are not limited to, the fluorescent labels, phosphorescent labels, chemiluminescent labels, bioluminescent labels, radio-isotopes, metals, metal chelates, metallic cations, chromophores and enzymes, such as those mentioned on page 109 of WO 08/020079. Other suitable labels will be clear to the skilled person, and for example include moieties that can be detected using NMR or ESR spectroscopy.

Such labeled Nanobodies (or ISV's) and polypeptides of the invention may for example be used for in vitro, in vivo or in situ assays (including immunoassays known per se such as ELISA, RIA, EIA and other “sandwich assays”, etc.) as well as in vivo diagnostic and imaging purposes, depending on the choice of the specific label.

As will be clear to the skilled person, another modification may involve the introduction of a chelating group, for example to chelate one of the metals or metallic cations referred to above. Suitable chelating groups for example include, without limitation, diethylenetriaminepentaacetic acid (DTPA) or ethylenediaminetetraacetic acid (EDTA).

Yet another modification may comprise the introduction of a functional group that is one part of a specific binding pair, such as the biotin-(strept)avidin binding pair. Such a functional group may be used to link the Nanobody (or ISV) of the invention to another protein, polypeptide or chemical compound that is bound to the other half of the binding pair, i.e. through formation of the binding pair. For example, a Nanobody (or ISV) of the invention may be conjugated to biotin, and linked to another protein, polypeptide, compound or carrier conjugated to avidin or streptavidin. For example, such a conjugated Nanobody (or ISV) may be used as a reporter, for example in a diagnostic system where a detectable signal-producing agent is conjugated to avidin or streptavidin. Such binding pairs may for example also be used to bind the Nanobody (or ISV) of the invention to a carrier, including carriers suitable for pharmaceutical purposes. One non-limiting example are the liposomal formulations described by Cao and Suresh, Journal of Drug Targetting, 8, 4, 257 (2000). Such binding pairs may also be used to link a therapeutically active agent to the Nanobody (or ISV) of the invention.

For some applications, in particular for those applications in which it is intended to kill a cell that expresses the target against which the Nanobodies (or ISV's) of the invention are directed (e.g. in the treatment of cancer), or to reduce or slow the growth and/or proliferation such a cell, the Nanobodies (or ISV's) of the invention may also be linked to a toxin or to a toxic residue or moiety. Examples of toxic moieties, compounds or residues which can be linked to a Nanobody (or ISV) of the invention to provide—for example—a cytotoxic compound will be clear to the skilled person and can for example be found in the prior art cited above and/or in the further description herein. One example is the so-called ADEPT™ technology described in WO 03/055527.

Other potential chemical and enzymatical modifications will be clear to the skilled person. Such modifications may also be introduced for research purposes (e.g. to study function-activity relationships). Reference is for example made to Lundblad and Bradshaw, Biotechnol. Appl. Biochem., 26, 143-151 (1997).

Preferably, the derivatives are such that they bind to any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof with an affinity (suitably measured and/or expressed as a K_(D)-value (actual or apparent), a K_(A)-value (actual or apparent), a k_(on)-rate and/or a k_(off)-rate, or alternatively as an IC₅₀ value, as further described herein) that is as defined herein for the Nanobodies (or ISV's) of the invention.

As mentioned above, the invention also relates to proteins or polypeptides that essentially consist of or comprise at least one Nanobody (or ISV) of the invention. By “essentially consist of” is meant that the amino acid sequence of the polypeptide of the invention either is exactly the same as the amino acid sequence of a Nanobody (or ISV) of the invention or corresponds to the amino acid sequence of a Nanobody (or ISV) of the invention which has a limited number of amino acid residues, such as 1-20 amino acid residues, for example 1-10 amino acid residues and preferably 1-6 amino acid residues, such as 1, 2, 3, 4, 5 or 6 amino acid residues, added at the amino terminal end, at the carboxy terminal end, or at both the amino terminal end and the carboxy terminal end of the amino acid sequence of the Nanobody (or ISV).

Said amino acid residues may or may not change, alter or otherwise influence the (biological) properties of the Nanobody (or ISV) and may or may not add further functionality to the Nanobody (or ISV). For example, such amino acid residues:

-   -   can comprise an N-terminal Met residue, for example as result of         expression in a heterologous host cell or host organism.     -   may form a signal sequence or leader sequence that directs         secretion of the Nanobody (or ISV) from a host cell upon         synthesis. Suitable secretory leader peptides will be clear to         the skilled person, and may be as further described herein.         Usually, such a leader sequence will be linked to the N-terminus         of the Nanobody (or ISV), although the invention in its broadest         sense is not limited thereto;     -   may form a sequence or signal that allows the Nanobody (or ISV)         to be directed towards and/or to penetrate or enter into         specific organs, tissues, cells, or parts or compartments of         cells, and/or that allows the Nanobody (or ISV) to penetrate or         cross a biological barrier such as a cell membrane, a cell layer         such as a layer of epithelial cells, a tumor including solid         tumors, or the blood-brain-barrier. Examples of such amino acid         sequences will be clear to the skilled person and include those         mentioned in paragraph c) on page 112 of WO 08/020079.     -   may form a “tag”, for example an amino acid sequence or residue         that allows or facilitates the purification of the Nanobody (or         ISV), for example using affinity techniques directed against         said sequence or residue. Thereafter, said sequence or residue         may be removed (e.g. by chemical or enzymatical cleavage) to         provide the Nanobody (or ISV) sequence (for this purpose, the         tag may optionally be linked to the Nanobody (or ISV) sequence         via a cleavable linker sequence or contain a cleavable motif).         Some preferred, but non-limiting examples of such residues are         multiple histidine residues, glutatione residues and a myc-tag         (see for example SEQ ID NO:31 of WO 06/12282).     -   may be one or more amino acid residues that have been         functionalized and/or that can serve as a site for attachment of         functional groups. Suitable amino acid residues and functional         groups will be clear to the skilled person and include, but are         not limited to, the amino acid residues and functional groups         mentioned herein for the derivatives of the Nanobodies (or         ISV's) of the invention.

According to one embodiment, a polypeptide of the invention comprises or consists of an amino acid sequence selected from any of SEQ ID NO: 623 to 693 and 826-838 (i.e. selected from SEQ ID NO 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837 and SEQ ID NO 838), wherein the amino acid sequence may comprise up to 6 single amino acid substitutions, deletions and/or insertions and wherein the polypeptide preferably specifically binds to IL-17A and/or to IL-17-F.

According to another embodiment, a polypeptide of the invention comprises or consists of an amino acid sequence selected from any of SEQ ID NO: 623 to 693 and 826-838 (i.e. selected from SEQ ID NO 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837 and SEQ ID NO 838), wherein the amino acid sequence may comprise up to 6 single amino acid substitutions, deletions and/or insertions and wherein the polypeptide preferably binds to IL 17A and/or to IL 17-F with a Kd of less than 5 nM and most preferably with a Kd of less than 50 pM.

According to one embodiment, a polypeptide of the invention comprises or consists of an amino acid sequence selected from any of SEQ ID NO: 623 to 693 and 826-838 (i.e. selected from SEQ ID NO 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837 and SEQ ID NO 838), wherein the amino acid sequence may comprise up to 3 single amino acid substitutions, deletions and/or insertions and wherein the polypeptide preferably specifically binds to IL 17A and/or to IL 17-F.

According to one embodiment, a polypeptide of the invention comprises or consists of the amino acid sequence SEQ ID NO 836, wherein the amino acid sequence may comprise up to 1, 2, 3, 4, 5, 6, 7, 8, 9 or up to 10 single amino acid substitutions, deletions and/or insertions and wherein the polypeptide preferably specifically binds to IL 17A and/or to IL 17-F with a Kd of less than 5 nM and most preferably with a Kd of less than 50 pM.

According to a further embodiment, a polypeptide of the invention comprises or consists of an amino acid sequence selected from any of SEQ ID NO: 623 to 693 and 826-838 (i.e. selected from SEQ ID NO 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837 and SEQ ID NO 838), wherein the amino acid sequence may comprise up to 6 single amino acid substitutions, deletions and/or insertions and wherein the polypeptide preferably specifically binds to SEQ ID NO: 839 and/or to SEQ ID NO: 840, preferably with a Kd of less than 5 nM and most preferably with a Kd of less than 50 pM.

According to a further embodiment, a polypeptide of the invention comprises or consists of an amino acid sequence selected from any of SEQ ID NO: 623 to 693 and 826-838 (i.e. selected from SEQ ID NO 623, 624, 625, 626, 627, 628, 629, 630, 631, 632, 633, 634, 635, 636, 637, 638, 639, 640, 641, 642, 643, 644, 645, 646, 647, 648, 649, 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693, 826, 827, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837 and SEQ ID NO 838), wherein the amino acid sequence may comprise up to 3 single amino acid substitutions, deletions and/or insertions and wherein the polypeptide preferably specifically binds to SEQ ID NO: 839 and/or to SEQ ID NO: 840, preferably with a Kd of less than 5 nM and most preferably with a Kd of less than 50 pM.

Also provided is a polypeptide of the invention, wherein the polypeptide comprises

(i) a first amino acid sequence selected from any of SEQ ID NO: 640-649 (i.e. selected from any of SEQ ID NO 640, 641, 642, 643, 644, 645, 646, 647, 648 and 649), which specifically binds to IL-17F (SEQ ID NO: 840) and to a heterodimer of IL-17A (SEQ ID NO: 839) and IL-17F (SEQ ID NO: 840), but does not specifically bind to IL-17A (SEQ ID NO: 839); and/or

(ii) a second amino acid sequence selected from any of SEQ ID NO: 650-693 (i.e. selected from any of SEQ ID NO 650, 651, 652, 653, 654, 655, 656, 657, 658, 659, 660, 661, 662, 663, 664, 665, 666, 667, 668, 669, 670, 671, 672, 673, 674, 675, 676, 677, 678, 679, 680, 681, 682, 683, 684, 685, 686, 687, 688, 689, 690, 691, 692, 693), which specifically binds to IL-17A (SEQ ID NO: 839), to IL-17F (SEQ ID NO: 840) and to a heterodimer of IL-17A (SEQ ID NO: 839) and IL-17F (SEQ ID NO: 840);

-   -   wherein the first and second amino acid sequence may in total         comprise up to 6 single amino acid substitutions, deletions         and/or insertions; and     -   wherein said specific binding in each instance occurs with a Kd         of less than 5 nM.

According to another aspect, a polypeptide of the invention comprises a Nanobody (or ISV) of the invention, which specifically binds to at least amino acids L74, Y85 and N88 of IL-17A (SEQ ID NO: 839). These binding epitopes have been shown to be of therapeutic value.

According to another aspect, a polypeptide of the invention comprises a Nanobody (or ISV) of the invention, which specifically binds to at least amino acids R47, R73, I86 and N89 of IL-17F (SEQ ID NO: 840). These binding epitopes have been shown to be of therapeutic value.

Of course also all of the above polypeptides can be used and are effective for the treatment of a disease as disclosed herein.

According to another aspect, a polypeptide of the invention comprises a Nanobody (or ISV) of the invention, which is fused at its amino terminal end, at its carboxy terminal end, or both at its amino terminal end and at its carboxy terminal end to at least one further amino acid sequence, i.e. so as to provide a fusion protein comprising said Nanobody (or ISV) of the invention and the one or more further amino acid sequences. Such a fusion will also be referred to herein as a “Nanobody (or ISV) fusion”.

The one or more further amino acid sequence may be any suitable and/or desired amino acid sequences. The further amino acid sequences may or may not change, alter or otherwise influence the (biological) properties of the Nanobody (or ISV), and may or may not add further functionality to the Nanobody (or ISV) or the polypeptide of the invention. Preferably, the further amino acid sequence is such that it confers one or more desired properties or functionalities to the Nanobody (or ISV) or the polypeptide of the invention.

For example, the further amino acid sequence may also provide a second binding site, which binding site may be directed against any desired protein, polypeptide, antigen, antigenic determinant or epitope (including but not limited to the same protein, polypeptide, antigen, antigenic determinant or epitope against which the Nanobody (or ISV) of the invention is directed, or a different protein, polypeptide, antigen, antigenic determinant or epitope).

Example of such amino acid sequences will be clear to the skilled person, and may generally comprise all amino acid sequences that are used in peptide fusions based on conventional antibodies and fragments thereof (including but not limited to ScFv's and single domain antibodies). Reference is for example made to the review by Holliger and Hudson, Nature Biotechnology, 23, 9, 1126-1136 (2005).

For example, such an amino acid sequence may be an amino acid sequence that increases the half-life, the solubility, or the absorption, reduces the immunogenicity or the toxicity, eliminates or attenuates undesirable side effects, and/or confers other advantageous properties to and/or reduces the undesired properties of the polypeptides of the invention, compared to the Nanobody (or ISV) of the invention per se. Some non-limiting examples of such amino acid sequences are serum proteins, such as human serum albumin (see for example WO 00/27435) or haptenic molecules (for example haptens that are recognized by circulating antibodies, see for example WO 98/22141).

In particular, it has been described in the art that linking fragments of immunoglobulins (such as V_(H) domains) to serum albumin or to fragments thereof can be used to increase the half-life. Reference is for made to WO 00/27435 and WO 01/077137). According to the invention, the Nanobody (or ISV) of the invention is preferably either directly linked to serum albumin (or to a suitable fragment thereof) or via a suitable linker, and in particular via a suitable peptide linked so that the polypeptide of the invention can be expressed as a genetic fusion (protein). According to one specific aspect, the Nanobody (or ISV) of the invention may be linked to a fragment of serum albumin that at least comprises the domain III of serum albumin or part thereof. Reference is for example made to WO 07/112940 of Ablynx N.V.

Alternatively, the further amino acid sequence may provide a second binding site or binding unit that is directed against a serum protein (such as, for example, human serum albumin or another serum protein such as IgG), so as to provide increased half-life in serum. Such amino acid sequences for example include the Nanobodies (or ISV's) described below, as well as the small peptides and binding proteins described in WO 91/01743, WO 01/45746 and WO 02/076489 and the dAb's described in WO 03/002609 and WO 04/003019. Reference is also made to Harmsen et al., Vaccine, 23 (41); 4926-42, 2005, as well as to EP 0 368 684, as well as to WO 08/028977, WO 08/043821, WO 08/043822 by Ablynx N.V. and US provisional application of Ablynx N.V. entitled “Peptides capable of binding to serum proteins” filed on Dec. 5, 2006 ((see also PCT/EP2007/063348).

Such amino acid sequences may in particular be directed against serum albumin (and more in particular human serum albumin) and/or against IgG (and more in particular human IgG). For example, such amino acid sequences may be amino acid sequences that are directed against (human) serum albumin and amino acid sequences that can bind to amino acid residues on (human) serum albumin that are not involved in binding of serum albumin to FcRn (see for example WO 06/0122787) and/or amino acid sequences that are capable of binding to amino acid residues on serum albumin that do not form part of domain III of serum albumin (see again for example WO 06/0122787); amino acid sequences that have or can provide an increased half-life (see for example WO 08/028977 by Ablynx N.V.); amino acid sequences against human serum albumin that are cross-reactive with serum albumin from at least one species of mammal, and in particular with at least one species of primate (such as, without limitation, monkeys from the genus Macaca (such as, and in particular, cynomolgus monkeys (Macaca fascicularis) and/or rhesus monkeys (Macaca mulatta)) and baboon (Papio ursinus), reference is again made to WO 08/028977; amino acid sequences that can bind to serum albumin in a pH independent manner (see for example WO 08/043821by Ablynx N.V. entitled “Amino acid sequences that bind to serum proteins in a manner that is essentially independent of the pH, compounds comprising the same, and uses thereof”) and/or amino acid sequences that are conditional binders (see for example WO 08/043822 by Ablynx N.V. entitled “Amino acid sequences that bind to a desired molecule in a conditional manner”).

According to another aspect, the one or more further amino acid sequences may comprise one or more parts, fragments or domains of conventional 4-chain antibodies (and in particular human antibodies) and/or of heavy chain antibodies. For example, although usually less preferred, a Nanobody (or ISV) of the invention may be linked to a conventional (preferably human) V_(H) or V_(L) domain or to a natural or synthetic analog of a V_(H) or V_(L) domain, again optionally via a linker sequence (including but not limited to other (single) domain antibodies, such as the dAb's described by Ward et al.).

The at least one Nanobody (or ISV) may also be linked to one or more (preferably human) C_(H)1, C_(H)2 and/or C_(H)3 domains, optionally via a linker sequence. For instance, a Nanobody (or ISV) linked to a suitable C_(H)1 domain could for example be used—together with suitable light chains—to generate antibody fragments/structures analogous to conventional Fab fragments or F(ab′)₂ fragments, but in which one or (in case of an F(ab′)₂ fragment) one or both of the conventional V_(H) domains have been replaced by a Nanobody (or ISV) of the invention. Also, two Nanobodies (or ISV's) could be linked to a C_(H)3 domain (optionally via a linker) to provide a construct with increased half-life in vivo.

According to one specific aspect of a polypeptide of the invention, one or more Nanobodies (or 1SV′s) of the invention may be linked (optionally via a suitable linker or hinge region) to one or more constant domains (for example, 2 or 3 constant domains that can be used as part of/to form an Fc portion), to an Fc portion and/or to to one or more antibody parts, fragments or domains that confer one or more effector functions to the polypeptide of the invention and/or may confer the ability to bind to one or more Fc receptors. For example, for this purpose, and without being limited thereto, the one or more further amino acid sequences may comprise one or more C_(H)2 and/or C_(H)3 domains of an antibody, such as from a heavy chain antibody (as described herein) and more preferably from a conventional human 4-chain antibody; and/or may form (part of) and Fc region, for example from IgG (e.g. from IgG1, IgG2, IgG3 or IgG4), from IgE or from another human Ig such as IgA, IgD or IgM. For example, WO 94/04678 describes heavy chain antibodies comprising a Camelid V_(HH) domain or a humanized derivative thereof (i.e. a Nanobody (or ISV)), in which the Camelidae C_(H)2 and/or C_(H)3 domain have been replaced by human C_(H)2 and C_(H)3 domains, so as to provide an immunoglobulin that consists of 2 heavy chains each comprising a Nanobody (or ISV) and human C_(H)2 and C_(H)3 domains (but no C_(H)1 domain), which immunoglobulin has the effector function provided by the C_(H)2 and C_(H)3 domains and which immunoglobulin can function without the presence of any light chains. Other amino acid sequences that can be suitably linked to the Nanobodies (or ISV's) of the invention so as to provide an effector function will be clear to the skilled person, and may be chosen on the basis of the desired effector function(s). Reference is for example made to WO 04/058820, WO 99/42077, WO 02/056910 and WO 05/017148, as well as the review by Holliger and Hudson, supra; and to the non-prepublished US provisional application by Ablynx N.V. entitled “Constructs comprising single variable domains and an Fc portion derived from IgE” which has a filing date of Dec. 4, 2007. Coupling of a Nanobody (or ISV) of the invention to an Fc portion may also lead to an increased half-life, compared to the corresponding Nanobody (or ISV) of the invention. For some applications, the use of an Fc portion and/or of constant domains (i.e. C_(H)2 and/or C_(H)3 domains) that confer increased half-life without any biologically significant effector function may also be suitable or even preferred. Other suitable constructs comprising one or more Nanobodies (or ISV's) and one or more constant domains with increased half-life in vivo will be clear to the skilled person, and may for example comprise two Nanobodies (or ISV's) linked to a C_(H)3 domain, optionally via a linker sequence. Generally, any fusion protein or derivatives with increased half-life will preferably have a molecular weight of more than 50 kD, the cut-off value for renal absorption.

In another one specific, but non-limiting, aspect, in order to form a polypeptide of the invention, one or more amino acid sequences of the invention may be linked (optionally via a suitable linker or hinge region) to naturally occurring, synthetic or semisynthetic constant domains (or analogs, variants, mutants, parts or fragments thereof) that have a reduced (or essentially no) tendency to self-associate into dimers (i.e. compared to constant domains that naturally occur in conventional 4-chain antibodies). Such monomeric (i.e. not self-associating) Fc chain variants, or fragments thereof, will be clear to the skilled person. For example, Helm et al., J Biol Chem 1996 271 7494, describe monomeric Fcγ chain variants that can be used in the polypeptide chains of the invention.

Also, such monomeric Fc chain variants are preferably such that they are still capable of binding to the complement or the relevant Fc receptor(s) (depending on the Fc portion from which they are derived), and/or such that they still have some or all of the effector functions of the Fc portion from which they are derived (or at a reduced level still suitable for the intended use). Alternatively, in such a polypeptide chain of the invention, the monomeric Fc chain may be used to confer increased half-life upon the polypeptide chain, in which case the monomeric Fc chain may also have no or essentially no effector functions.

Bivalent/multivalent, bispecific/multispecific or biparatopic/multiparatopic polypeptides of the invention may also be linked to Fc portions, in order to provide polypeptide constructs of the type that is described in the non-prepublished U.S. provisional application 61/005,331 entitled “immunoglobulin constructs” filed on Dec. 4, 2007.

The further amino acid sequences may also form a signal sequence or leader sequence that directs secretion of the Nanobody (or ISV) or the polypeptide of the invention from a host cell upon synthesis (for example to provide a pre-, pro- or prepro-form of the polypeptide of the invention, depending on the host cell used to express the polypeptide of the invention).

The further amino acid sequence may also form a sequence or signal that allows the Nanobody (or ISV) or polypeptide of the invention to be directed towards and/or to penetrate or enter into specific organs, tissues, cells, or parts or compartments of cells, and/or that allows the Nanobody (or ISV) or polypeptide of the invention to penetrate or cross a biological barrier such as a cell membrane, a cell layer such as a layer of epithelial cells, a tumor including solid tumors, or the blood-brain-barrier. Suitable examples of such amino acid sequences will be clear to the skilled person, and for example include, but are not limited to, those mentioned on page 118 of WO 08/020079. For some applications, in particular for those applications in which it is intended to kill a cell that expresses the target against which the Nanobodies (or ISV's) of the invention are directed (e.g. in the treatment of cancer), or to reduce or slow the growth and/or proliferation of such a cell, the Nanobodies (or ISV's) of the invention may also be linked to a (cyto)toxic protein or polypeptide. Examples of such toxic proteins and polypeptides which can be linked to a Nanobody (or ISV) of the invention to provide—for example—a cytotoxic polypeptide of the invention will be clear to the skilled person and can for example be found in the prior art cited above and/or in the further description herein. One example is the so-called ADEPT™ technology described in WO 03/055527.

According to one preferred, but non-limiting aspect, said one or more further amino acid sequences comprise at least one further Nanobody (or ISV), so as to provide a polypeptide of the invention that comprises at least two, such as three, four, five or more Nanobodies (or ISV's), in which said Nanobodies (or ISV's) may optionally be linked via one or more linker sequences (as defined herein). As described on pages 119 and 120 of WO 08/020079, polypeptides of the invention that comprise two or more Nanobodies (or ISV's), of which at least one is a Nanobody (or ISV) of the invention, will also be referred to herein as “multivalent” polypeptides of the invention, and the Nanobodies (or ISV's) present in such polypeptides will also be referred to herein as being in a “multivalent format”. For example, “bivalent” and “trivalent” polypeptides of the invention may be as further described on pages 119 and 120 of WO 08/020079.

Polypeptides of the invention that contain at least two Nanobodies (or ISV's), in which at least one Nanobody (or ISV) is directed against a first antigen (i.e. against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof) and at least one Nanobody (or ISV) is directed against a second antigen (i.e. different from any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), will also be referred to as “multispecific” polypeptides of the invention, and the Nanobodies (or ISV's) present in such polypeptides will also be referred to herein as being in a “multispecific format”. Thus, for example, a “bispecific” polypeptide of the invention is a polypeptide that comprises at least one Nanobody (or ISV) directed against a first antigen (i.e. any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof) and at least one further Nanobody (or ISV) directed against a second antigen (i.e. different from any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), whereas a “trispecific” polypeptide of the invention is a polypeptide that comprises at least one Nanobody (or ISV) directed against a first antigen (i.e. any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof), at least one further Nanobody (or ISV) directed against a second antigen (i.e. different from any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof) and at least one further Nanobody (or ISV) directed against a third antigen (i.e. different from both any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and the second antigen); etc.

Accordingly, in its simplest form, a bispecific polypeptide of the invention is a bivalent polypeptide of the invention (as defined herein), comprising a first Nanobody (or ISV) directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and a second Nanobody (or ISV) directed against a second antigen, in which said first and second Nanobody (or ISV) may optionally be linked via a linker sequence (as defined herein); whereas a trispecific polypeptide of the invention in its simplest form is a trivalent polypeptide of the invention (as defined herein), comprising a first Nanobody (or ISV) directed against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, a second Nanobody (or ISV) directed against a second antigen and a third Nanobody (or ISV) directed against a third antigen, in which said first, second and third Nanobody (or ISV) may optionally be linked via one or more, and in particular one and more, in particular two, linker sequences.

However, as will be clear from the description hereinabove, the invention is not limited thereto, in the sense that a multispecific polypeptide of the invention may comprise at least one Nanobody (or ISV) against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, and any number of Nanobodies (or ISV's) directed against one or more antigens different from any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof.

Furthermore, although it is encompassed within the scope of the invention that the specific order or arrangement of the various Nanobodies (or ISV's) in the polypeptides of the invention may have some influence on the properties of the final polypeptide of the invention (including but not limited to the affinity, specificity or avidity for any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, or against the one or more other antigens), said order or arrangement is usually not critical and may be suitably chosen by the skilled person, optionally after some limited routine experiments based on the disclosure herein. Thus, when reference is made to a specific multivalent or multispecific polypeptide of the invention, it should be noted that this encompasses any order or arrangements of the relevant Nanobodies (or ISV's), unless explicitly indicated otherwise.

Finally, it is also within the scope of the invention that the polypeptides of the invention contain two or more Nanobodies (or ISV's) and one or more further amino acid sequences (as mentioned herein).

For multivalent and multispecific polypeptides containing one or more V_(HH) domains and their preparation, reference is also made to Conrath et al., J. Biol. Chem., Vol. 276, 10. 7346-7350, 2001; Muyldermans, Reviews in Molecular Biotechnology 74 (2001), 277-302; as well as to for example WO 96/34103 and WO 99/23221. Some other examples of some specific multispecific and/or multivalent polypeptide of the invention can be found in the applications by Ablynx N.V. referred to herein.

One preferred, but non-limiting example of a multispecific polypeptide of the invention comprises at least one Nanobody (or ISV) of the invention and at least one Nanobody (or ISV) that provides for an increased half-life. Such Nanobodies (or ISV's) may for example be Nanobodies (or ISV's) that are directed against a serum protein, and in particular a human serum protein, such as human serum albumin, thyroxine-binding protein, (human) transferrin, fibrinogen, an immunoglobulin such as IgG, IgE or IgM, or against one of the serum proteins listed in WO 04/003019. Of these, Nanobodies (or ISV's) that can bind to serum albumin (and in particular human serum albumin) or to IgG (and in particular human IgG, see for example Nanobody (or ISV) VH-1 described in the review by Muyldermans, supra) are particularly preferred (although for example, for experiments in mice or primates, Nanobodies (or ISV's) against or cross-reactive with mouse serum albumin (MSA) or serum albumin from said primate, respectively, can be used, however, for pharmaceutical use, Nanobodies (or ISV's) against human serum albumin or human IgG will usually be preferred). Nanobodies (or ISV's) that provide for increased half-life and that can be used in the polypeptides of the invention include the Nanobodies (or ISV's) directed against serum albumin that are described in WO 04/041865, in WO 06/122787 and in the further patent applications by Ablynx N.V., such as those mentioned above.

For example, the some preferred Nanobodies (or ISV's) that provide for increased half-life for use in the present invention include Nanobodies (or ISV's) that can bind to amino acid residues on (human) serum albumin that are not involved in binding of serum albumin to FcRn (see for example WO 06/0122787); Nanobodies (or ISV's) that are capable of binding to amino acid residues on serum albumin that do not form part of domain III of serum albumin (see for example WO 06/0122787); Nanobodies (or ISV's) that have or can provide an increased half-life (see for example WO 08/028977 by Ablynx N.V mentioned herein); Nanobodies (or ISV's) against human serum albumin that are cross-reactive with serum albumin from at least one species of mammal, and in particular with at least one species of primate (such as, without limitation, monkeys from the genus Macaca (such as, and in particular, cynomolgus monkeys (Macaca fascicularis) and/or rhesus monkeys (Macaca mulatta)) and baboon (Papio ursinus)) (see for example WO 08/028977 by Ablynx N.V)); Nanobodies (or ISV's) that can bind to serum albumin in a pH independent manner (see for example WO2008/043821 by Ablynx N.V. mentioned herein) and/or Nanobodies (or ISV's) that are conditional binders (see for example WO 08/043822by Ablynx N.V.).

Some particularly preferred Nanobodies (or ISV's) that provide for increased half-life and that can be used in the polypeptides of the invention include the Nanobodies (or ISV's) ALB-1 to ALB-10 disclosed in WO 06/122787 (see Tables II and III) of which ALB-8 (SEQ ID NO: 62 in WO 06/122787) is particularly preferred.

According to a specific, but non-limiting aspect of the invention, the polypeptides of the invention contain, besides the one or more Nanobodies (or ISV's) of the invention, at least one Nanobody (or ISV) against human serum albumin.

Generally, any polypeptide of the invention with increased half-life that contains one or more Nanobodies (or ISV's) of the invention, and any derivatives of Nanobodies (or ISV's) of the invention or of such polypeptides that have an increased half-life, preferably have a half-life that is at least 1.5 times, preferably at least 2 times, such as at least 5 times, for example at least 10 times or more than 20 times, greater than the half-life of the corresponding Nanobody (or ISV) of the invention per se. For example, such a derivative or polypeptides with increased half-life may have a half-life that is increased with more than 1 hours, preferably more than 2 hours, more preferably more than 6 hours, such as more than 12 hours, or even more than 24, 48 or 72 hours, compared to the corresponding Nanobody (or ISV) of the invention per se.

In a preferred, but non-limiting aspect of the invention, such derivatives or polypeptides may exhibit a serum half-life in human of at least about 12 hours, preferably at least 24 hours, more preferably at least 48 hours, even more preferably at least 72 hours or more. For example, such derivatives or polypeptides may have a half-life of at least 5 days (such as about 5 to 10 days), preferably at least 9 days (such as about 9 to 14 days), more preferably at least about 10 days (such as about 10 to 15 days), or at least about 11 days (such as about 11 to 16 days), more preferably at least about 12 days (such as about 12 to 18 days or more), or more than 14 days (such as about 14 to 19 days).

According to one aspect of the invention the polypeptides are capable of binding to one or more molecules which can increase the half-life of the polypeptide in vivo. The polypeptides of the invention are stabilized in vivo and their half-life increased by binding to molecules which resist degradation and/or clearance or sequestration. Typically, such molecules are naturally occurring proteins which themselves have a long half-life in vivo. Another preferred, but non-limiting example of a multispecific polypeptide of the invention comprises at least one Nanobody (or ISV) of the invention and at least one Nanobody (or ISV) that directs the polypeptide of the invention towards, and/or that allows the polypeptide of the invention to penetrate or to enter into specific organs, tissues, cells, or parts or compartments of cells, and/or that allows the Nanobody (or ISV) to penetrate or cross a biological barrier such as a cell membrane, a cell layer such as a layer of epithelial cells, a tumor including solid tumors, or the blood-brain-barrier. Examples of such Nanobodies (or ISV's) include Nanobodies (or ISV's) that are directed towards specific cell-surface proteins, markers or epitopes of the desired organ, tissue or cell (for example cell-surface markers associated with tumor cells), and the single-domain brain targeting antibody fragments described in WO 02/057445 and WO 06/040153, of which FC44 (SEQ ID NO: 189 of WO 06/040153) and FC5 (SEQ ID NO: 190 of WO 06/040154) are preferred examples. In the polypeptides of the invention, the one or more Nanobodies (or ISV's) and the one or more polypeptides may be directly linked to each other (as for example described in WO 99/23221) and/or may be linked to each other via one or more suitable spacers or linkers, or any combination thereof.

Suitable spacers or linkers for use in multivalent and multispecific polypeptides will be clear to the skilled person, and may generally be any linker or spacer used in the art to link amino acid sequences. Preferably, said linker or spacer is suitable for use in constructing proteins or polypeptides that are intended for pharmaceutical use. Some particularly preferred spacers include the spacers and linkers that are used in the art to link antibody fragments or antibody domains. These include the linkers mentioned in the general background art cited above, as well as for example linkers that are used in the art to construct diabodies or ScFv fragments (in this respect, however, its should be noted that, whereas in diabodies and in ScFv fragments, the linker sequence used should have a length, a degree of flexibility and other properties that allow the pertinent V_(H) and V_(L) domains to come together to form the complete antigen-binding site, there is no particular limitation on the length or the flexibility of the linker used in the polypeptide of the invention, since each Nanobody (or ISV) by itself forms a complete antigen-binding site). For example, a linker may be a suitable amino acid sequence, and in particular amino acid sequences of between 1 and 50, preferably between 1 and 30, such as between 1 and 10 amino acid residues. Some preferred examples of such amino acid sequences include gly-ser linkers, for example of the type (gly_(x)ser_(y))_(z), such as (for example (gly₄ser)₃ or (gly₃ser₂)₃, as described in WO 99/42077 and the GS30, GS15, GS9 and GS7 linkers described in the applications by Ablynx mentioned herein (see for example WO 06/040153 and WO 06/122825), as well as hinge-like regions, such as the hinge regions of naturally occurring heavy chain antibodies or similar sequences (such as described in WO 94/04678). Some other particularly preferred linkers are poly-alanine (such as AAA), as well as the linkers GS30 (SEQ ID NO: 85 in WO 06/122825) and GS9 (SEQ ID NO: 84 in WO 06/122825). Other suitable linkers generally comprise organic compounds or polymers, in particular those suitable for use in proteins for pharmaceutical use. For instance, poly(ethyleneglycol) moieties have been used to link antibody domains, see for example WO 04/081026. It is encompassed within the scope of the invention that the length, the degree of flexibility and/or other properties of the linker(s) used (although not critical, as it usually is for linkers used in ScFv fragments) may have some influence on the properties of the final polypeptide of the invention, including but not limited to the affinity, specificity or avidity for any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, or for one or more of the other antigens. Based on the disclosure herein, the skilled person will be able to determine the optimal linker(s) for use in a specific polypeptide of the invention, optionally after some limited routine experiments. For example, in multivalent polypeptides of the invention that comprise Nanobodies (or ISV's) directed against a multimeric antigen (such as a multimeric receptor or other protein), the length and flexibility of the linker are preferably such that it allows each Nanobody (or ISV) of the invention present in the polypeptide to bind to the antigenic determinant on each of the subunits of the multimer. Similarly, in a multispecific polypeptide of the invention that comprises Nanobodies (or ISV's) directed against two or more different antigenic determinants on the same antigen (for example against different epitopes of an antigen and/or against different subunits of a multimeric receptor, channel or protein), the length and flexibility of the linker are preferably such that it allows each Nanobody (or ISV) to bind to its intended antigenic determinant. Again, based on the disclosure herein, the skilled person will be able to determine the optimal linker(s) for use in a specific polypeptide of the invention, optionally after some limited routine experiments. It is also within the scope of the invention that the linker(s) used confer one or more other favourable properties or functionality to the polypeptides of the invention, and/or provide one or more sites for the formation of derivatives and/or for the attachment of functional groups (e.g. as described herein for the derivatives of the Nanobodies (or ISV's) of the invention). For example, linkers containing one or more charged amino acid residues (see Table A-2 on page 48 of the International application WO 08/020079) can provide improved hydrophilic properties, whereas linkers that form or contain small epitopes or tags can be used for the purposes of detection, identification and/or purification. Again, based on the disclosure herein, the skilled person will be able to determine the optimal linkers for use in a specific polypeptide of the invention, optionally after some limited routine experiments. Finally, when two or more linkers are used in the polypeptides of the invention, these linkers may be the same or different. Again, based on the disclosure herein, the skilled person will be able to determine the optimal linkers for use in a specific polypeptide of the invention, optionally after some limited routine experiments. Usually, for easy of expression and production, a polypeptide of the invention will be a linear polypeptide. However, the invention in its broadest sense is not limited thererto. For example, when a polypeptide of the invention comprises three of more Nanobodies (or ISV's), it is possible to link them by use of a linker with three or more “arms”, which each “arm” being linked to a Nanobody (or ISV), so as to provide a “star-shaped” construct. It is also possible, although usually less preferred, to use circular constructs. The invention also comprises derivatives of the polypeptides of the invention, which may be essentially analogous to the derivatives of the Nanobodies (or ISV's) of the invention, i.e. as described herein. The invention also comprises proteins or polypeptides that “essentially consist” of a polypeptide of the invention (in which the wording “essentially consist of” has essentially the same meaning as indicated hereinabove).

According to one aspect of the invention, the polypeptide of the invention is in essentially isolated from, as defined herein. The amino acid sequences, Nanobodies (or ISV's), polypeptides and nucleic acids of the invention can be prepared in a manner known per se, as will be clear to the skilled person from the further description herein. For example, the Nanobodies (or ISV's) and polypetides of the invention can be prepared in any manner known per se for the preparation of antibodies and in particular for the preparation of antibody fragments (including but not limited to (single) domain antibodies and ScFv fragments). Some preferred, but non-limiting methods for preparing the amino acid sequences, Nanobodies (or ISV's), polypeptides and nucleic acids include the methods and techniques described herein.

As will be clear to the skilled person, one particularly useful method for preparing an amino acid sequence, Nanobody (or ISV) and/or a polypeptide of the invention generally comprises the steps of:

-   i) the expression, in a suitable host cell or host organism (also     referred to herein as a “host of the invention”) or in another     suitable expression system of a nucleic acid that encodes said amino     acid sequence, Nanobody (or ISV) or polypeptide of the invention     (also referred to herein as a “nucleic acid of the invention”),     optionally followed by: -   ii) isolating and/or purifying the amino acid sequence, Nanobody (or     ISV) or polypeptide of the invention thus obtained.

In particular, such a method may comprise the steps of:

-   i) cultivating and/or maintaining a host of the invention under     conditions that are such that said host of the invention expresses     and/or produces at least one amino acid sequence, Nanobody (or ISV)     and/or polypeptide of the invention; optionally followed by: -   ii) isolating and/or purifying the amino acid sequence, Nanobody (or     ISV) or polypeptide of the invention thus obtained.

A nucleic acid of the invention can be in the form of single or double stranded DNA or RNA, and is preferably in the form of double stranded DNA. For example, the nucleotide sequences of the invention may be genomic DNA, cDNA or synthetic DNA (such as DNA with a codon usage that has been specifically adapted for expression in the intended host cell or host organism). According to one aspect of the invention, the nucleic acid of the invention is in essentially isolated from, as defined herein. The nucleic acid of the invention may also be in the form of, be present in and/or be part of a vector, such as for example a plasmid, cosmid or YAC, which again may be in essentially isolated form. The nucleic acids of the invention can be prepared or obtained in a manner known per se, based on the information on the amino acid sequences for the polypeptides of the invention given herein, and/or can be isolated from a suitable natural source. To provide analogs, nucleotide sequences encoding naturally occurring V_(HH) domains can for example be subjected to site-directed mutagenesis, so at to provide a nucleic acid of the invention encoding said analog. Also, as will be clear to the skilled person, to prepare a nucleic acid of the invention, also several nucleotide sequences, such as at least one nucleotide sequence encoding a Nanobody (or ISV) and for example nucleic acids encoding one or more linkers can be linked together in a suitable manner. Techniques for generating the nucleic acids of the invention will be clear to the skilled person and may for instance include, but are not limited to, automated DNA synthesis; site-directed mutagenesis; combining two or more naturally occurring and/or synthetic sequences (or two or more parts thereof), introduction of mutations that lead to the expression of a truncated expression product; introduction of one or more restriction sites (e.g. to create cassettes and/or regions that may easily be digested and/or ligated using suitable restriction enzymes), and/or the introduction of mutations by means of a PCR reaction using one or more “mismatched” primers, using for example a sequence of a naturally occurring form of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof as a template. These and other techniques will be clear to the skilled person, and reference is again made to the standard handbooks, such as Sambrook et al. and Ausubel et al., mentioned above, as well as the Examples below. The nucleic acid of the invention may also be in the form of, be present in and/or be part of a genetic construct, as will be clear to the person skilled in the art and as described on pages 131-134 of WO 08/020079 (incorporated herein by reference). Such genetic constructs generally comprise at least one nucleic acid of the invention that is optionally linked to one or more elements of genetic constructs known per se, such as for example one or more suitable regulatory elements (such as a suitable promoter(s), enhancer(s), terminator(s), etc.) and the further elements of genetic constructs referred to herein. Such genetic constructs comprising at least one nucleic acid of the invention will also be referred to herein as “genetic constructs of the invention”. The genetic constructs of the invention may be DNA or RNA, and are preferably double-stranded DNA. The genetic constructs of the invention may also be in a form suitable for transformation of the intended host cell or host organism, in a form suitable for integration into the genomic DNA of the intended host cell or in a form suitable for independent replication, maintenance and/or inheritance in the intended host organism. For instance, the genetic constructs of the invention may be in the form of a vector, such as for example a plasmid, cosmid, YAC, a viral vector or transposon. In particular, the vector may be an expression vector, i.e. a vector that can provide for expression in vitro and/or in vivo (e.g. in a suitable host cell, host organism and/or expression system).

In a preferred but non-limiting aspect, a genetic construct of the invention comprises

-   i) at least one nucleic acid of the invention; operably connected to -   ii) one or more regulatory elements, such as a promoter and     optionally a suitable terminator;     and optionally also -   iii) one or more further elements of genetic constructs known per     se;

in which the terms “operably connected” and “operably linked” have the meaning given on pages 131-134 of WO 08/020079; and in which the “regulatory elements”, “promoter”, “terminator” and “further elements” are as described on pages 131-134 of WO 08/020079; and in which the genetic constructs may further be as described on pages 131-134 of WO 08/020079.

The nucleic acids of the invention and/or the genetic constructs of the invention may be used to transform a host cell or host organism, i.e. for expression and/or production of the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention. Suitable hosts or host cells will be clear to the skilled person, and may for example be any suitable fungal, prokaryotic or eukaryotic cell or cell line or any suitable fungal, prokaryotic or eukaryotic organism, for example those described on pages 134 and 135 of WO 08/020079; as well as all other hosts or host cells known per se for the expression and production of antibodies and antibody fragments (including but not limited to (single) domain antibodies and ScFv fragments), which will be clear to the skilled person. Reference is also made to the general background art cited hereinabove, as well as to for example WO 94/29457; WO 96/34103; WO 99/42077; Frenken et al., (1998), supra; Riechmann and Muyldermans, (1999), supra; van der Linden, (2000), supra; Thomassen et al., (2002), supra; Joosten et al., (2003), supra; Joosten et al., (2005), supra; and the further references cited herein.

The amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention can also be introduced and expressed in one or more cells, tissues or organs of a multicellular organism, for example for prophylactic and/or therapeutic purposes (e.g. as a gene therapy), as further described on pages 135 and 136 of in WO 08/020079 and in the further references cited in WO 08/020079.

For expression of the Nanobodies (or ISV's) in a cell, they may also be expressed as so-called “intrabodies”, as for example described in WO 94/02610, WO 95/22618 and U.S. Pat. No. 7,004,940; WO 03/014960; in Cattaneo, A. & Biocca, S. (1997) Intracellular Antibodies: Development and Applications. Landes and Springer-Verlag; and in Kontermann, Methods 34, (2004), 163-170.

The amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention can for example also be produced in the milk of transgenic mammals, for example in the milk of rabbits, cows, goats or sheep (see for example U.S. Pat. Nos. 6,741,957, 6,304,489 and 6,849,992 for general techniques for introducing transgenes into mammals), in plants or parts of plants including but not limited to their leaves, flowers, fruits, seed, roots or turbers (for example in tobacco, maize, soybean or alfalfa) or in for example pupae of the silkworm Bombix mori.

Furthermore, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention can also be expressed and/or produced in cell-free expression systems, and suitable examples of such systems will be clear to the skilled person. Some preferred, but non-limiting examples include expression in the wheat germ system; in rabbit reticulocyte lysates; or in the E. coli Zubay system.

As mentioned above, one of the advantages of the use of Nanobodies (or ISV's) is that the polypeptides based thereon can be prepared through expression in a suitable bacterial system, and suitable bacterial expression systems, vectors, host cells, regulatory elements, etc., will be clear to the skilled person, for example from the references cited above. It should however be noted that the invention in its broadest sense is not limited to expression in bacterial systems.

Preferably, in the invention, an (in vivo or in vitro) expression system, such as a bacterial expression system, is used that provides the polypeptides of the invention in a form that is suitable for pharmaceutical use, and such expression systems will again be clear to the skilled person. As also will be clear to the skilled person, polypeptides of the invention suitable for pharmaceutical use can be prepared using techniques for peptide synthesis.

For production on industrial scale, preferred heterologous hosts for the (industrial) production of Nanobodies (or ISV's) or Nanobody (or ISV)-containing protein therapeutics include strains of E. coli, Pichia pastoris, S. cerevisiae that are suitable for large scale expression/production/fermentation, and in particular for large scale pharmaceutical (i.e. GMP grade) expression/production/fermentation. Suitable examples of such strains will be clear to the skilled person. Such strains and production/expression systems are also made available by companies such as Biovitrum (Uppsala, Sweden).

Alternatively, mammalian cell lines, in particular Chinese hamster ovary (CHO) cells, can be used for large scale expression/production/fermentation, and in particular for large scale pharmaceutical expression/production/fermentation. Again, such expression/production systems are also made available by some of the companies mentioned above. The choice of the specific expression system would depend in part on the requirement for certain post-translational modifications, more specifically glycosylation. The production of a Nanobody (or ISV)-containing recombinant protein for which glycosylation is desired or required would necessitate the use of mammalian expression hosts that have the ability to glycosylate the expressed protein. In this respect, it will be clear to the skilled person that the glycosylation pattern obtained (i.e. the kind, number and position of residues attached) will depend on the cell or cell line that is used for the expression. Preferably, either a human cell or cell line is used (i.e. leading to a protein that essentially has a human glycosylation pattern) or another mammalian cell line is used that can provide a glycosylation pattern that is essentially and/or functionally the same as human glycosylation or at least mimics human glycosylation. Generally, prokaryotic hosts such as E. coli do not have the ability to glycosylate proteins, and the use of lower eukaryotes such as yeast usually leads to a glycosylation pattern that differs from human glycosylation. Nevertheless, it should be understood that all the foregoing host cells and expression systems can be used in the invention, depending on the desired amino acid sequence, Nanobody (or ISV) or polypeptide to be obtained. Thus, according to one non-limiting aspect of the invention, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is glycosylated. According to another non-limiting aspect of the invention, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is non-glycosylated. According to one preferred, but non-limiting aspect of the invention, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is produced in a bacterial cell, in particular a bacterial cell suitable for large scale pharmaceutical production, such as cells of the strains mentioned above. According to another preferred, but non-limiting aspect of the invention, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is produced in a yeast cell, in particular a yeast cell suitable for large scale pharmaceutical production, such as cells of the species mentioned above. According to yet another preferred, but non-limiting aspect of the invention, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is produced in a mammalian cell, in particular in a human cell or in a cell of a human cell line, and more in particular in a human cell or in a cell of a human cell line that is suitable for large scale pharmaceutical production, such as the cell lines mentioned hereinabove. As further described on pages 138 and 139 of WO 08/020079, when expression in a host cell is used to produce the amino acid sequences, Nanobodies (or ISV's) and the polypeptides of the invention, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention can be produced either intracellullarly (e.g. in the cytosol, in the periplasma or in inclusion bodies) and then isolated from the host cells and optionally further purified; or can be produced extracellularly (e.g. in the medium in which the host cells are cultured) and then isolated from the culture medium and optionally further purified. Thus, according to one non-limiting aspect of the invention, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is an amino acid sequence, Nanobody (or ISV) or polypeptide that has been produced intracellularly and that has been isolated from the host cell, and in particular from a bacterial cell or from an inclusion body in a bacterial cell. According to another non-limiting aspect of the invention, the amino acid sequence, Nanobody (or 1SV) or polypeptide of the invention is an amino acid sequence, Nanobody (or ISV) or polypeptide that has been produced extracellularly, and that has been isolated from the medium in which the host cell is cultivated. Some preferred, but non-limiting promoters for use with these host cells include those mentioned on pages 139 and 140 of WO 08/020079. Some preferred, but non-limiting secretory sequences for use with these host cells include those mentioned on page 140 of WO 08/020079. Suitable techniques for transforming a host or host cell of the invention will be clear to the skilled person and may depend on the intended host cell/host organism and the genetic construct to be used. Reference is again made to the handbooks and patent applications mentioned above. After transformation, a step for detecting and selecting those host cells or host organisms that have been successfully transformed with the nucleotide sequence/genetic construct of the invention may be performed. This may for instance be a selection step based on a selectable marker present in the genetic construct of the invention or a step involving the detection of the amino acid sequence of the invention, e.g. using specific antibodies. The transformed host cell (which may be in the form or a stable cell line) or host organisms (which may be in the form of a stable mutant line or strain) form further aspects of the present invention. Preferably, these host cells or host organisms are such that they express, or are (at least) capable of expressing (e.g. under suitable conditions), an amino acid sequence, Nanobody (or ISV) or polypeptide of the invention (and in case of a host organism: in at least one cell, part, tissue or organ thereof). The invention also includes further generations, progeny and/or offspring of the host cell or host organism of the invention, that may for instance be obtained by cell division or by sexual or asexual reproduction. To produce/obtain expression of the amino acid sequences of the invention, the transformed host cell or transformed host organism may generally be kept, maintained and/or cultured under conditions such that the (desired) amino acid sequence, Nanobody (or ISV) or polypeptide of the invention is expressed/produced. Suitable conditions will be clear to the skilled person and will usually depend upon the host cell/host organism used, as well as on the regulatory elements that control the expression of the (relevant) nucleotide sequence of the invention. Again, reference is made to the handbooks and patent applications mentioned above in the paragraphs on the genetic constructs of the invention. Generally, suitable conditions may include the use of a suitable medium, the presence of a suitable source of food and/or suitable nutrients, the use of a suitable temperature, and optionally the presence of a suitable inducing factor or compound (e.g. when the nucleotide sequences of the invention are under the control of an inducible promoter); all of which may be selected by the skilled person. Again, under such conditions, the amino acid sequences of the invention may be expressed in a constitutive manner, in a transient manner, or only when suitably induced.

It will also be clear to the skilled person that the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention may (first) be generated in an immature form (as mentioned above), which may then be subjected to post-translational modification, depending on the host cell/host organism used. Also, the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention may be glycosylated, again depending on the host cell/host organism used. The amino acid sequence, Nanobody (or ISV) or polypeptide of the invention may then be isolated from the host cell/host organism and/or from the medium in which said host cell or host organism was cultivated, using protein isolation and/or purification techniques known per se, such as (preparative) chromatography and/or electrophoresis techniques, differential precipitation techniques, affinity techniques (e.g. using a specific, cleavable amino acid sequence fused with the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention) and/or preparative immunological techniques (i.e. using antibodies against the amino acid sequence to be isolated). Generally, for pharmaceutical use, the polypeptides of the invention may be formulated as a pharmaceutical preparation or compositions comprising at least one polypeptide of the invention and at least one pharmaceutically acceptable carrier, diluent or excipient and/or adjuvant, and optionally one or more further pharmaceutically active polypeptides and/or compounds. By means of non-limiting examples, such a formulation may be in a form suitable for oral administration, for parenteral administration (such as by intravenous, intramuscular or subcutaneous injection or intravenous infusion), for topical administration, for administration by inhalation, by a skin patch, by an implant, by a suppository, etc. Such suitable administration forms—which may be solid, semi-solid or liquid, depending on the manner of administration—as well as methods and carriers for use in the preparation thereof, will be clear to the skilled person, and are further described herein. Thus, in a further aspect, the invention relates to a pharmaceutical composition that contains at least one amino acid of the invention, at least one Nanobody (or ISV) of the invention or at least one polypeptide of the invention and at least one suitable carrier, diluent or excipient (i.e. suitable for pharmaceutical use), and optionally one or more further active substances. Generally, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention can be formulated and administered in any suitable manner known per se, for which reference is for example made to the general background art cited above (and in particular to WO 04/041862, WO 04/041863, WO 04/041865, WO 04/041867 and WO 08/020079) as well as to the standard handbooks, such as Remington's Pharmaceutical Sciences, 18^(th) Ed., Mack Publishing Company, USA (1990), Remington, the Science and Practice of Pharmacy, 21th Edition, Lippincott Williams and Wilkins (2005); or the Handbook of Therapeutic Antibodies (S. Dubel, Ed.), Wiley, Weinheim, 2007 (see for example pages 252-255). For example, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may be formulated and administered in any manner known per se for conventional antibodies and antibody fragments (including ScFv's and diabodies) and other pharmaceutically active proteins. Such formulations and methods for preparing the same will be clear to the skilled person, and for example include preparations suitable for parenteral administration (for example intravenous, intraperitoneal, subcutaneous, intramuscular, intraluminal, intra-arterial or intrathecal administration) or for topical (i.e. transdermal or intradermal) administration. Preparations for parenteral administration may for example be sterile solutions, suspensions, dispersions or emulsions that are suitable for infusion or injection. Suitable carriers or diluents for such preparations for example include, without limitation, those mentioned on page 143 of WO 08/020079. Usually, aqueous solutions or suspensions will be preferred. The amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention can also be administered using gene therapy methods of delivery. See, e.g., U.S. Pat. No. 5,399,346, which is incorporated by reference in its entirety. Using a gene therapy method of delivery, primary cells transfected with the gene encoding an amino acid sequence, Nanobody (or ISV) or polypeptide of the invention can additionally be transfected with tissue specific promoters to target specific organs, tissue, grafts, tumors, or cells and can additionally be transfected with signal and stabilization sequences for subcellularly localized expression. Thus, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may be systemically administered, e.g., orally, in combination with a pharmaceutically acceptable vehicle such as an inert diluent or an assimilable edible carrier. They may be enclosed in hard or soft shell gelatin capsules, may be compressed into tablets, or may be incorporated directly with the food of the patient's diet. For oral therapeutic administration, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may be combined with one or more excipients and used in the form of ingestible tablets, buccal tablets, troches, capsules, elixirs, suspensions, syrups, wafers, and the like. Such compositions and preparations should contain at least 0.1% of the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention. Their percentage in the compositions and preparations may, of course, be varied and may conveniently be between about 2 to about 60% of the weight of a given unit dosage form. The amount of the amino acid sequence, Nanobody (or ISV) or polypeptide of the invention in such therapeutically useful compositions is such that an effective dosage level will be obtained.

The tablets, troches, pills, capsules, and the like may also contain binders, excipients, disintegrating agents, lubricants and sweetening or flavouring agents, for example those mentioned on pages 143-144 of WO 08/020079. When the unit dosage form is a capsule, it may contain, in addition to materials of the above type, a liquid carrier, such as a vegetable oil or a polyethylene glycol. Various other materials may be present as coatings or to otherwise modify the physical form of the solid unit dosage form. For instance, tablets, pills, or capsules may be coated with gelatin, wax, shellac or sugar and the like. A syrup or elixir may contain the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention, sucrose or fructose as a sweetening agent, methyl and propylparabens as preservatives, a dye and flavoring such as cherry or orange flavor. Of course, any material used in preparing any unit dosage form should be pharmaceutically acceptable and substantially non-toxic in the amounts employed. In addition, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may be incorporated into sustained-release preparations and devices.

Preparations and formulations for oral administration may also be provided with an enteric coating that will allow the constructs of the invention to resist the gastric environment and pass into the intestines. More generally, preparations and formulations for oral administration may be suitably formulated for delivery into any desired part of the gastrointestinal tract. In addition, suitable suppositories may be used for delivery into the gastrointestinal tract. The amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may also be administered intravenously or intraperitoneally by infusion or injection, as further described on pages 144 and 145 of WO 08/020079. For topical administration, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may be applied in pure form, i.e., when they are liquids. However, it will generally be desirable to administer them to the skin as compositions or formulations, in combination with a dermatologically acceptable carrier, which may be a solid or a liquid, as further described on page 145 of WO 08/020079.

Generally, the concentration of the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention in a liquid composition, such as a lotion, will be from about 0.1-25 wt-%, preferably from about 0.5-10 wt-%. The concentration in a semi-solid or solid composition such as a gel or a powder will be about 0.1-5 wt-%, preferably about 0.5-2.5 wt-%. The amount of the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention required for use in treatment will vary not only with the particular amino acid sequence, Nanobody (or ISV) or polypeptide selected but also with the route of administration, the nature of the condition being treated and the age and condition of the patient and will be ultimately at the discretion of the attendant physician or clinician. Also the dosage of the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention varies depending on the target cell, tumor, tissue, graft, or organ. The desired dose may conveniently be presented in a single dose or as divided doses administered at appropriate intervals, for example, as two, three, four or more sub-doses per day. The sub-dose itself may be further divided, e.g., into a number of discrete loosely spaced administrations; such as multiple inhalations from an insufflator or by application of a plurality of drops into the eye. An administration regimen could include long-term, daily treatment. By “long-term” is meant at least two weeks and preferably, several weeks, months, or years of duration. Necessary modifications in this dosage range may be determined by one of ordinary skill in the art using only routine experimentation given the teachings herein. See Remington's Pharmaceutical Sciences (Martin, E. W., ed. 4), Mack Publishing Co., Easton, Pa. The dosage can also be adjusted by the individual physician in the event of any complication.

In another aspect, the invention relates to a method for the prevention and/or treatment of at least one immune related diseases and disorders of the invention, said method comprising administering, to a subject in need thereof, a pharmaceutically active amount of an amino acid sequence of the invention, of a Nanobody (or ISV) of the invention, of a polypeptide of the invention, and/or of a pharmaceutical composition comprising the same. In the context of the present invention, the term “prevention and/or treatment” not only comprises preventing and/or treating the disease, but also generally comprises preventing the onset of the disease, slowing or reversing the progress of disease, preventing or slowing the onset of one or more symptoms associated with the disease, reducing and/or alleviating one or more symptoms associated with the disease, reducing the severity and/or the duration of the disease and/or of any symptoms associated therewith and/or preventing a further increase in the severity of the disease and/or of any symptoms associated therewith, preventing, reducing or reversing any physiological damage caused by the disease, and generally any pharmacological action that is beneficial to the patient being treated. The subject to be treated may be any warm-blooded animal, but is in particular a mammal, and more in particular a human being. As will be clear to the skilled person, the subject to be treated will in particular be a person suffering from, or at risk of, the diseases and disorders mentioned herein. The invention relates to a method for the prevention and/or treatment of at least one disease or disorder that is associated with any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, with its biological or pharmacological activity, and/or with the biological pathways or signalling in which any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is involved, said method comprising administering, to a subject in need thereof, a pharmaceutically active amount of an amino acid sequence of the invention, of a Nanobody (or ISV) of the invention, of a polypeptide of the invention, and/or of a pharmaceutical composition comprising the same. In particular, the invention relates to a method for the prevention and/or treatment of at least one disease or disorder that can be treated by modulating any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, its biological or pharmacological activity, and/or the biological pathways or signalling in which any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is involved, said method comprising administering, to a subject in need thereof, a pharmaceutically active amount of an amino acid sequence of the invention, of a Nanobody (or ISV) of the invention, of a polypeptide of the invention, and/or of a pharmaceutical composition comprising the same. In particular, said pharmaceutically effective amount may be an amount that is sufficient to modulate any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, its biological or pharmacological activity, and/or the biological pathways or signalling in which any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is involved; and/or an amount that provides a level of the amino acid sequence of the invention, of a Nanobody (or ISV) of the invention, of a polypeptide of the invention in the circulation that is sufficient to modulate any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, its biological or pharmacological activity, and/or the biological pathways or signalling in which any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof is involved. The invention furthermore relates to a method for the prevention and/or treatment of at least one disease or disorder that can be prevented and/or treated by administering an amino acid sequence of the invention, a Nanobody (or ISV) of the invention or a polypeptide of the invention to a patient, said method comprising administering, to a subject in need thereof, a pharmaceutically active amount of an amino acid sequence of the invention, of a Nanobody (or ISV) of the invention, of a polypeptide of the invention, and/or of a pharmaceutical composition comprising the same. More in particular, the invention relates to a method for the prevention and/or treatment of at least one disease or disorder chosen from the group consisting of the diseases and disorders listed herein, said method comprising administering, to a subject in need thereof, a pharmaceutically active amount of an amino acid sequence of the invention, of a Nanobody (or ISV) of the invention, of a polypeptide of the invention, and/or of a pharmaceutical composition comprising the same. Examples of the immune related diseases and disorders of the invention will be clear to the skilled person based on the disclosure herein, and for example include the following diseases and disorders: systemic lupus erythematosis, rheumatoid arthritis, osteoarthritis, juvenile chronic arthritis, spondyloarthropathies, systemic sclerosis, idiopathic inflammatory myopathies, Sjögren's syndrome, systemic vasculitis, sarcoidosis, autoimmune hemolytic anemia, autoimmune thrombocytopenia, thyroiditis, diabetes mellitus, immune-mediated renal disease, demyelinating diseases of the central and peripheral nervous systems such as multiple sclerosis, idiopathic demyelinating polyneuropathy or Guillain Barre syndrome, and chronic inflammatory demyelinating polyneuropathy, hepatobiliary diseases such as infectious, autoimmune chronic active hepatitis, primary biliary cirrhosis, granulomatous hepatitis, and sclerosing cholangitis, inflammatory bowel disease, gluten-sensitive enteropathy, and Whipple's disease, autoimmune or immune-mediated skin diseases including bullous skin diseases, erythema multiforme and contact dermatitis, psoriasis, allergic diseases such as asthma, allergic rhinitis, atopic dermatitis, food hypersensitivity and urticaria, immunologic diseases of the lung such as eosinophilic pneumonia, idiopathic pulmonary fibrosis and hypersensitivity pneumonitis, transplantation associated diseases including graft rejection and graft-versus-host-disease.

In the above methods, the amino acid sequences, Nanobodies (or ISV's) and/or polypeptides of the invention and/or the compositions comprising the same can be administered in any suitable manner, depending on the specific pharmaceutical formulation or composition to be used. Thus, the amino acid sequences, Nanobodies (or ISV's) and/or polypeptides of the invention and/or the compositions comprising the same can for example be administered orally, intraperitoneally (e.g. intravenously, subcutaneously, intramuscularly, or via any other route of administration that circumvents the gastrointestinal tract), intranasally, transdermally, topically, by means of a suppository, by inhalation, again depending on the specific pharmaceutical formulation or composition to be used. The clinician will be able to select a suitable route of administration and a suitable pharmaceutical formulation or composition to be used in such administration, depending on the disease or disorder to be prevented or treated and other factors well known to the clinician.

The amino acid sequences, Nanobodies (or ISV's) and/or polypeptides of the invention and/or the compositions comprising the same are administered according to a regime of treatment that is suitable for preventing and/or treating the disease or disorder to be prevented or treated. The clinician will generally be able to determine a suitable treatment regimen, depending on factors such as the disease or disorder to be prevented or treated, the severity of the disease to be treated and/or the severity of the symptoms thereof, the specific amino acid sequence, Nanobody (or ISV) or polypeptide of the invention to be used, the specific route of administration and pharmaceutical formulation or composition to be used, the age, gender, weight, diet, general condition of the patient, and similar factors well known to the clinician.

Generally, the treatment regimen will comprise the administration of one or more amino acid sequences, Nanobodies (or ISV's) and/or polypeptides of the invention, or of one or more compositions comprising the same, in one or more pharmaceutically effective amounts or doses. The specific amount(s) or doses to administered can be determined by the clinician, again based on the factors cited above.

Generally, for the prevention and/or treatment of the diseases and disorders mentioned herein and depending on the specific disease or disorder to be treated, the potency of the specific amino acid sequence, Nanobody (or ISV) and polypeptide of the invention to be used, the specific route of administration and the specific pharmaceutical formulation or composition used, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention will generally be administered in an amount between 1 gram and 0.01 microgram per kg body weight per day, preferably between 0.1 gram and 0.1 microgram per kg body weight per day, such as about 1, 10, 100 or 1000 microgram per kg body weight per day, either continuously (e.g. by infusion), as a single daily dose or as multiple divided doses during the day. The clinician will generally be able to determine a suitable daily dose, depending on the factors mentioned herein. It will also be clear that in specific cases, the clinician may choose to deviate from these amounts, for example on the basis of the factors cited above and his expert judgment. Generally, some guidance on the amounts to be administered can be obtained from the amounts usually administered for comparable conventional antibodies or antibody fragments against the same target administered via essentially the same route, taking into account however differences in affinity/avidity, efficacy, biodistribution, half-life and similar factors well known to the skilled person.

Usually, in the above method, a single amino acid sequence, Nanobody (or ISV) or polypeptide of the invention will be used. It is however within the scope of the invention to use two or more amino acid sequences, Nanobodies (or ISV's) and/or polypeptides of the invention in combination.

The Nanobodies (or ISV's), amino acid sequences and polypeptides of the invention may also be used in combination with one or more further pharmaceutically active compounds or principles, i.e. as a combined treatment regimen, which may or may not lead to a synergistic effect. Again, the clinician will be able to select such further compounds or principles, as well as a suitable combined treatment regimen, based on the factors cited above and his expert judgment. In particular, the amino acid sequences, Nanobodies (or ISV's) and polypeptides of the invention may be used in combination with other pharmaceutically active compounds or principles that are or can be used for the prevention and/or treatment of the diseases and disorders cited herein, as a result of which a synergistic effect may or may not be obtained. Examples of such compounds and principles, as well as routes, methods and pharmaceutical formulations or compositions for administering them will be clear to the clinician.

When two or more substances or principles are to be used as part of a combined treatment regimen, they can be administered via the same route of administration or via different routes of administration, at essentially the same time or at different times (e.g. essentially simultaneously, consecutively, or according to an alternating regime). When the substances or principles are to be administered simultaneously via the same route of administration, they may be administered as different pharmaceutical formulations or compositions or part of a combined pharmaceutical formulation or composition, as will be clear to the skilled person.

Also, when two or more active substances or principles are to be used as part of a combined treatment regimen, each of the substances or principles may be administered in the same amount and according to the same regimen as used when the compound or principle is used on its own, and such combined use may or may not lead to a synergistic effect. However, when the combined use of the two or more active substances or principles leads to a synergistic effect, it may also be possible to reduce the amount of one, more or all of the substances or principles to be administered, while still achieving the desired therapeutic action. This may for example be useful for avoiding, limiting or reducing any unwanted side-effects that are associated with the use of one or more of the substances or principles when they are used in their usual amounts, while still obtaining the desired pharmaceutical or therapeutic effect.

The effectiveness of the treatment regimen used according to the invention may be determined and/or followed in any manner known per se for the disease or disorder involved, as will be clear to the clinician. The clinician will also be able, where appropriate and on a case-by-case basis, to change or modify a particular treatment regimen, so as to achieve the desired therapeutic effect, to avoid, limit or reduce unwanted side-effects, and/or to achieve an appropriate balance between achieving the desired therapeutic effect on the one hand and avoiding, limiting or reducing undesired side effects on the other hand. Generally, the treatment regimen will be followed until the desired therapeutic effect is achieved and/or for as long as the desired therapeutic effect is to be maintained. Again, this can be determined by the clinician.

In another aspect, the invention relates to the use of an amino acid sequence, Nanobody (or ISV) or polypeptide of the invention in the preparation of a pharmaceutical composition for prevention and/or treatment of at least one immune related diseases and disorders of the invention; and/or for use in one or more of the methods of treatment mentioned herein.

The subject to be treated may be any warm-blooded animal, but is in particular a mammal, and more in particular a human being. For instance, it has been found that most Nanobodies (or ISV's) primarily raised against human IL-17A, IL-17F and/or IL-17A/F (or combinations thereof) of the invention cross-react with marmoset IL-17A, IL-17F and/or IL-17A/F (or combinations thereof). As will be clear to the skilled person, the subject to be treated will in particular be a person suffering from, or at risk of, the diseases and disorders mentioned herein.

The invention also relates to the use of an amino acid sequence, Nanobody (or ISV) or polypeptide of the invention in the preparation of a pharmaceutical composition for the prevention and/or treatment of at least one disease or disorder that can be prevented and/or treated by administering an amino acid sequence, Nanobody (or ISV) or polypeptide of the invention to a patient.

More in particular, the invention relates to the use of an amino acid sequence, Nanobody (or ISV) or polypeptide of the invention in the preparation of a pharmaceutical composition for the prevention and/or treatment of immune related diseases and disorders of the invention, and in particular for the prevention and treatment of one or more of the diseases and disorders listed herein. Again, in such a pharmaceutical composition, the one or more amino acid sequences, Nanobodies (or ISV's) or polypeptides of the invention may also be suitably combined with one or more other active principles, such as those mentioned herein. Finally, although the use of the Nanobodies (or ISV's) of the invention (as defined herein) and of the polypeptides of the invention is much preferred, it will be clear that on the basis of the description herein, the skilled person will also be able to design and/or generate, in an analogous manner, other amino acid sequences and in particular (single) domain antibodies against any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof, as well as polypeptides comprising such (single) domain antibodies. For example, it will also be clear to the skilled person that it may be possible to “graft” one or more of the CDR's mentioned above for the Nanobodies (or ISV's) of the invention onto such (single) domain antibodies or other protein scaffolds, including but not limited to human scaffolds or non-immunoglobulin scaffolds. Suitable scaffolds and techniques for such CDR grafting will be clear to the skilled person and are well known in the art, see for example those mentioned in WO 08/020079. For example, techniques known per se for grafting mouse or rat CDR's onto human frameworks and scaffolds can be used in an analogous manner to provide chimeric proteins comprising one or more of the CDR's of the Nanobodies (or ISV's) of the invention and one or more human framework regions or sequences. It should also be noted that, when the Nanobodies (or ISV's) of the inventions contain one or more other CDR sequences than the preferred CDR sequences mentioned above, these CDR sequences can be obtained in any manner known per se, for example using one or more of the techniques described in WO 08/020079. Further uses of the amino acid sequences, Nanobodies (or ISV's), polypeptides, nucleic acids, genetic constructs and hosts and host cells of the invention will be clear to the skilled person based on the disclosure herein. For example, and without limitation, the amino acid sequences of the invention can be linked to a suitable carrier or solid support so as to provide a medium than can be used in a manner known per se to purify any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof from compositions and preparations comprising the same. Derivatives of the amino acid sequences of the invention that comprise a suitable detectable label can also be used as markers to determine (qualitatively or quantitatively) the presence of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof in a composition or preparation or as a marker to selectively detect the presence of any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof on the surface of a cell or tissue (for example, in combination with suitable cell sorting techniques).

Some very preferred aspects of the invention are:

-   -   An amino acid sequence that is directed against and/or that can         specifically bind to any of human IL-17A, human IL-17F and/or         human IL-17A/F including combinations thereof.     -   A respective amino acid sequence with a rate of dissociation         (k_(off) rate) between between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹.     -   A respective amino acid sequence with an affinity to human         IL-17A, human IL-17F and/or human IL-17A/F including         combinations thereof less than 1 nM.     -   A respective amino acid sequence that comprises an         immunoglobulin fold.     -   A respective amino acid sequence that is an immunoglobulin         sequence.     -   A respective amino acid sequence that essentially consists of a         light chain variable domain sequence (e.g. a VL-sequence); or of         a heavy chain variable domain sequence (e.g. a VH-sequence).     -   A respective amino acid sequence that essentially consists of a         Nanobody.     -   A respective amino acid sequence that essentially consists of a         polypeptide that has at least 80% amino acid identity with at         least one of the amino acid sequences of SEQ ID NOs: 623 to 693,         in which for the purposes of determining the degree of amino         acid identity, the amino acid residues that form the CDR         sequences are disregarded; and in which preferably one or more         of the amino acid residues at positions 11, 37, 44, 45, 47, 83,         84, 103, 104 and 108 according to the Kabat numbering are chosen         from the Hallmark residues mentioned in Table B-2.     -   A respective amino acid sequence that can specifically bind to         human IL-17A.     -   A respective amino acid sequence according to any of the         preceding claims that can specifically bind to human IL-17A and         human IL-17A/F.     -   A respective amino acid sequence that can specifically bind to         human IL-17F.     -   A respective amino acid sequence that can specifically bind to         human IL-17A, IL-17F and IL-17A/F.     -   An amino acid sequence that is directed against and/or that can         specifically bind to human IL-17 A and IL-17A/F (class 2),         characterized in that the amino acid sequence binds to a L74A or         a Y85A or a H54A IL-17A mutant with significantly reduced         affinity as compared to binding to the wildtype IL-17A sequence.     -   An amino acid sequence that is directed against and/or that can         specifically bind to human IL-17A, IL-17F and IL-17A/F (class         4), characterized in that the amino acid sequence binds to a         L74A or a Y85A or a N88A IL-17A mutant with significantly         reduced affinity as compared to binding to the wildtype IL-17A         sequence.     -   An amino acid sequence that is directed against and/or that can         specifically bind to human IL17F, characterized in that the         amino acid sequence binds to a R47A or R73A or I86A or N89A         IL-17F mutant with significantly reduced affinity as compared to         binding to the wildtype IL-17F sequence.     -   A first amino acid sequence competing for binding to human         IL-17A and/or IL-17 A/F with a second amino acid sequence,         wherein that second amino acid sequence specifically binds to         human IL-17 A and IL-17A/F (class 2), and wherein that second         amino acid sequence binds to a L74A or a Y85A or a H54A IL-17A         mutant with significantly reduced affinity as compared to         binding to the wildtype IL-17A sequence, the first amino acid         sequence not being IL-17A, IL-17 A/F and/or IL-17F.     -   A first amino acid sequence competing for binding to human         IL-17A, IL-17 A/F and/or IL-17F with a second amino acid         sequence, wherein that second amino acid sequence specifically         binds to human IL-17A, IL-17F and IL-17A/F (class 4), and         wherein that second amino acid sequence binds to a L74A or a         Y85A or a N88A IL-17A mutant with significantly reduced affinity         as compared to binding to the wildtype IL-17A sequence, the         first amino acid sequence not being IL-17A, IL-17 A/F and/or         IL-17F.     -   A first amino acid sequence competing for binding to human         IL-17F with a second amino acid sequence, wherein that second         amino acid sequence specifically bind to human IL17F, and         wherein that second amino acid sequence binds to a R47A or R73A         or I86A or N89A IL-17F mutant with significantly reduced         affinity as compared to binding to the wildtype IL-17F sequence,         the first amino acid sequence not being IL-17A, IL-17 A/F and/or         IL-17F.     -   A polypeptide comprising at least one amino acid sequence of the         invention.     -   Use of an amino acid sequence and/or a polypeptide of the         invention for the treatment of a disease.     -   Use of an amino acid sequence and/or a of the invention for the         treatment of systemic lupus erythematosis, rheumatoid arthritis,         osteoarthritis, juvenile chronic arthritis,         spondyloarthropathies, systemic sclerosis, idiopathic         inflammatory myopathies, Sjögren's syndrome, systemic         vasculitis, sarcoidosis, autoimmune hemolytic anemia, autoimmune         thrombocytopenia, thyroiditis, diabetes mellitus,         immune-mediated renal disease, demyelinating diseases of the         central and peripheral nervous systems such as multiple         sclerosis, idiopathic demyelinating polyneuropathy or         Guillain-Barre syndrome, and chronic inflammatory demyelinating         polyneuropathy, hepatobiliary diseases such as infectious,         autoimmune chronic active hepatitis, primary biliary cirrhosis,         granulomatous hepatitis, and sclerosing cholangitis,         inflammatory bowel disease, gluten-sensitive enteropathy, and         Whipple's disease, autoimmune or immune-mediated skin diseases         including bullous skin diseases, erythema multiforme and contact         dermatitis, psoriasis, allergic diseases such as asthma,         allergic rhinitis, atopic dermatitis, food hypersensitivity and         urticaria, immunologic diseases of the lung such as eosinophilic         pneumonia, idiopathic pulmonary fibrosis and hypersensitivity         pneumonitis, transplantation associated diseases including graft         rejection and graft-versus-host-disease; or     -   a pharmaceutical composition comprising a polypeptide and/or a         amino acid sequence of the invention and a pharmaceutically         acceptable excipient for the treatment of systemic lupus         erythematosis, rheumatoid arthritis, osteoarthritis, juvenile         chronic arthritis, spondyloarthropathies, systemic sclerosis,         idiopathic inflammatory myopathies, Sjögren's syndrome, systemic         vasculitis, sarcoidosis, autoimmune hemolytic anemia, autoimmune         thrombocytopenia, thyroiditis, diabetes mellitus,         immune-mediated renal disease, demyelinating diseases of the         central and peripheral nervous systems such as multiple         sclerosis, idiopathic demyelinating polyneuropathy or         Guillain-Barre syndrome, and chronic inflammatory demyelinating         polyneuropathy, hepatobiliary diseases such as infectious,         autoimmune chronic active hepatitis, primary biliary cirrhosis,         granulomatous hepatitis, and sclerosing cholangitis,         inflammatory bowel disease, gluten-sensitive enteropathy, and         Whipple's disease, autoimmune or immune-mediated skin diseases         including bullous skin diseases, erythema multiforme and contact         dermatitis, psoriasis, allergic diseases such as asthma,         allergic rhinitis, atopic dermatitis, food hypersensitivity and         urticaria, immunologic diseases of the lung such as eosinophilic         pneumonia, idiopathic pulmonary fibrosis and hypersensitivity         pneumonitis, transplantation associated diseases including graft         rejection and graft-versus-host-disease; or     -   a method of treating a patient in need thereof by administering         an effective amount of a polypeptide and/or amino acid sequence         according to claims 1 to 13, wherein the method is suitable for         the treatment of systemic lupus erythematosis, rheumatoid         arthritis, osteoarthritis, juvenile chronic arthritis,         spondyloarthropathies, systemic sclerosis, idiopathic         inflammatory myopathies, Sjögren's syndrome, systemic         vasculitis, sarcoidosis, autoimmune hemolytic anemia, autoimmune         thrombocytopenia, thyroiditis, diabetes mellitus,         immune-mediated renal disease, demyelinating diseases of the         central and peripheral nervous systems such as multiple         sclerosis, idiopathic demyelinating polyneuropathy or         Guillain-Barre syndrome, and chronic inflammatory demyelinating         polyneuropathy, hepatobiliary diseases such as infectious,         autoimmune chronic active hepatitis, primary biliary cirrhosis,         granulomatous hepatitis, and sclerosing cholangitis,         inflammatory bowel disease, gluten-sensitive enteropathy, and         Whipple's disease, autoimmune or immune-mediated skin diseases         including bullous skin diseases, erythema multiforme and contact         dermatitis, psoriasis, allergic diseases such as asthma,         allergic rhinitis, atopic dermatitis, food hypersensitivity and         urticaria, immunologic diseases of the lung such as eosinophilic         pneumonia, idiopathic pulmonary fibrosis and hypersensitivity         pneumonitis, transplantation associated diseases including graft         rejection and graft-versus-host-disease.     -   A pharmaceutical composition comprising an amino acid sequence         and/or a polypeptide of the invention and a pharmaceutically         acceptable excipient

Some preferred but non-limiting aspects of the invention are listed below. Other aspects and embodiments of the invention will be clear to the skilled person based on the disclosure herein.

-   Aspect A-1: An amino acid sequence that is directed against and/or     that can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof, preferably said amino acid sequence     functions as binding unit. -   Aspect A-2: An amino acid sequence according to aspect A-1, that is     in essentially isolated form. -   Aspect A-3: An amino acid sequence according to aspect A-1 or A-2,     for administration to a subject, wherein said amino acid sequence     does not naturally occur in said subject. -   Aspect A-4: An amino acid sequence that can specifically bind to any     of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with a dissociation constant (K_(D)) of 10⁻⁵ to 10⁻¹² moles/litre or     less, and preferably 10⁻⁷ to 10⁻¹² moles/litre or less and more     preferably 10⁻⁸ to 10⁻¹² moles/litre. Such an amino acid sequence     may in particular be an amino acid sequence according to any of the     preceding aspects. -   Aspect A-5: An amino acid sequence that can specifically bind to any     of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with a rate of association (k_(on)-rate) of between 10² M⁻¹s⁻¹ to     about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more     preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. Such an amino acid sequence may in particular     be an amino acid sequence according to any of the preceding aspects. -   Aspect A-6: An amino acid sequence that can specifically bind to any     of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with a rate of dissociation (k_(off) rate) between 1 s⁻¹ and 10⁻⁶     s⁻¹, preferably between 10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably     between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶     s⁻¹. Such an amino acid sequence may in particular be an amino acid     sequence according to any of the preceding aspects. -   Aspect A-7: An amino acid sequence that can specifically bind to any     of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with an affinity less than 500 nM, preferably less than 200 nM, more     preferably less than 10 nM, such as less than 500 pM. Such an amino     acid sequence may in particular be an amino acid sequence according     to any of the preceding aspects. -   Aspect A-8: An amino acid sequence according to any of the preceding     aspects, that essentially consists of a polypeptide that     -   i) has at least 80% amino acid identity with at least one of the         amino acid sequences of SEQ ID NOs: 623 to 693, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-9: An amino acid sequence according to any of the preceding     aspects, that essentially consists of a Nanobody that     -   i) has at least 80% amino acid identity with at least one of the         amino acid sequences of SEQ ID NOs: 623 to 693, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-10: An amino acid sequence according to any of the     preceding aspects, that in addition to the at least one binding site     for binding against any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof, contains one or more further binding sites for     binding against other antigens, proteins or targets. -   Aspect A-11: An amino acid sequence that is directed against and/or     that can specifically bind to any of 1L-17A. -   Aspect A-12: An amino acid sequence that can specifically bind to     any of IL-17A with a dissociation constant (K_(D)) of 10⁻⁵ to 10⁻¹²     moles/litre or less, and preferably 10⁻⁷ to 10⁻¹² moles/litre or     less and more preferably 10⁻⁸ to 10⁻¹² moles/litre. Such an amino     acid sequence may in particular be an amino acid sequence according     to any of the preceding aspects. -   Aspect A-13: An amino acid sequence that can specifically bind to     any of IL-17A with a rate of association (k_(on)-rate) of between     10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and     10⁷ M⁻¹s⁻¹, more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such     as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. Such an amino acid sequence     may in particular be an amino acid sequence according to any of the     preceding aspects. -   Aspect A-14: An amino acid sequence that can specifically bind to     any of IL-17A with a rate of dissociation (k_(off) rate) between 1     s⁻¹ and 10⁻⁶ s⁻¹, preferably between 10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more     preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as between 10⁻⁴ s⁻¹     and 10⁻⁶ s⁻¹. Such an amino acid sequence may in particular be an     amino acid sequence according to any of the preceding aspects. -   Aspect A-15: An amino acid sequence that can specifically bind to     any of IL-17A with an affinity less than 500 nM, preferably less     than 200 nM, more preferably less than 10 nM, such as less than 500     pM. Such an amino acid sequence may in particular be an amino acid     sequence according to any of the preceding aspects. -   Aspect A-16: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a polypeptide that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 623 to 627, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-17: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a Nanobody that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 623 to 627, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-18: An amino acid sequence that is directed against and/or     that can specifically bind to any of IL-17A and IL-17A/F. -   Aspect A-19: An amino acid sequence that can specifically bind to     IL-17A and IL-17A/F with a dissociation constant (K_(D)) of 10⁻⁵ to     10⁻¹² moles/litre or less, and preferably 10⁻⁷ to 10⁻¹² moles/litre     or less and more preferably 10⁻⁸ to 10⁻¹² moles/litre. Such an amino     acid sequence may in particular be an amino acid sequence according     to any of the preceding aspects. -   Aspect A-20: An amino acid sequence that can specifically bind to     IL-17A and IL-17A/F with a rate of association (k_(on)-rate) of     between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably between 10³     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷     M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. Such an amino     acid sequence may in particular be an amino acid sequence according     to any of the preceding aspects. -   Aspect A-21: An amino acid sequence that can specifically bind to     IL-17A and IL-17A/F with a rate of dissociation (k_(off) rate)     between 1 s⁻¹ and 10⁻⁶ s⁻¹, preferably between 10⁻² s⁻¹ and 10⁻⁶     s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as between     10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. Such an amino acid sequence may in particular     be an amino acid sequence according to any of the preceding aspects. -   Aspect A-22: An amino acid sequence that can specifically bind to     IL-17A and IL-17A/F with an affinity less than 500 nM, preferably     less than 200 nM, more preferably less than 10 nM, such as less than     500 pM. Such an amino acid sequence may in particular be an amino     acid sequence according to any of the preceding aspects. -   Aspect A-23: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a polypeptide that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 628 to 639, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-24: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a Nanobody that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 628 to 339, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-25: An amino acid sequence according to any of the     preceding aspects, that in addition to the at least one binding site     for binding against IL-17A and IL-17A/F, contains one or more     further binding sites for binding against other antigens, proteins     or targets. -   Aspect A-26: An amino acid sequence that is directed against and/or     that can specifically bind to IL-17F. -   Aspect A-27: An amino acid sequence that can specifically bind to     IL-17F with a dissociation constant (K_(D)) of 10⁻⁵ to 10⁻¹²     moles/litre or less, and preferably 10⁻⁷ to 10⁻¹² moles/litre or     less and more preferably 10⁻⁸ to 10⁻¹² moles/litre. Such an amino     acid sequence may in particular be an amino acid sequence according     to any of the preceding aspects. -   Aspect A-28: An amino acid sequence that can specifically bind to     IL-17F with a rate of association (k_(on)-rate) of between 10²     M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and 10⁷     M⁻¹s⁻¹, more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as     between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. Such an amino acid sequence may     in particular be an amino acid sequence according to any of the     preceding aspects. -   Aspect A-29: An amino acid sequence that can specifically bind to     IL-17F with a rate of dissociation (k_(off) rate) between 1 s⁻¹ and     10⁻⁶ s⁻¹, preferably between 10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably     between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶     s⁻¹. Such an amino acid sequence may in particular be an amino acid     sequence according to any of the preceding aspects. -   Aspect A-30: An amino acid sequence that can specifically bind to     IL-17F with an affinity less than 500 nM, preferably less than 200     nM, more preferably less than 10 nM, such as less than 500 pM. Such     an amino acid sequence may in particular be an amino acid sequence     according to any of the preceding aspects. -   Aspect A-31: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a polypeptide that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 640 to 649, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-32: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a Nanobody that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 640 to 649, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-33: An amino acid sequence according to any of the     preceding aspects, that in addition to the at least one binding site     for binding against IL-17F, contains one or more further binding     sites for binding against other antigens, proteins or targets. -   Aspect A-34: An amino acid sequence that is directed against and/or     that can specifically bind to IL-17A, IL-17F and IL-17A/F. -   Aspect A-35: An amino acid sequence that can specifically bind to     IL-17A, IL-17F and IL-17A/F with a dissociation constant (K_(D)) of     10⁻⁵ to 10⁻¹² moles/litre or less, and preferably 10⁻⁷ to 10⁻¹²     moles/litre or less and more preferably 10⁻⁸ to 10⁻¹² moles/litre.     Such an amino acid sequence may in particular be an amino acid     sequence according to any of the preceding aspects. -   Aspect A-36: An amino acid sequence that can specifically bind to     IL-17A, IL-17F and IL-17A/F with a rate of association (k_(on)-rate)     of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably between 10³     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴ M⁻¹s⁻¹ and 10⁷     M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. Such an amino     acid sequence may in particular be an amino acid sequence according     to any of the preceding aspects. -   Aspect A-37: An amino acid sequence that can specifically bind to     IL-17A, IL-17F and IL-17A/F with a rate of dissociation (k_(off)     rate) between 1 s⁻¹ and 10⁻⁶ s⁻¹, preferably between 10⁻² s⁻¹ and     10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as     between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. Such an amino acid sequence may in     particular be an amino acid sequence according to any of the     preceding aspects. -   Aspect A-38: An amino acid sequence that can specifically bind to     IL-17A, IL-17F and IL-17A/F with an affinity less than 500 nM,     preferably less than 200 nM, more preferably less than 10 nM, such     as less than 500 pM. Such an amino acid sequence may in particular     be an amino acid sequence according to any of the preceding aspects. -   Aspect A-39: An amino acid sequence according to any of the     preceding aspects, that is a naturally occurring amino acid sequence     (from any suitable species, in particular mammal such as human or     marmoset) or a synthetic or semi-synthetic amino acid sequence. -   Aspect A-40: An amino acid sequence according to any of the     preceding aspects, that comprises an immunoglobulin fold or that     under suitable conditions is capable of forming an immunoglobulin     fold. -   Aspect A-41: An amino acid sequence according to any of the     preceding aspects, that essentially consists of 4 framework regions     (FR1 to FR4 respectively) and 3 complementarity determining regions     (CDR1 to CDR3 respectively). -   Aspect A-42: An amino acid sequence according to any of the     preceding aspects, that is an immunoglobulin sequence. -   Aspect A-43: An amino acid sequence according to any of the     preceding aspects, that is a naturally occurring immunoglobulin     sequence (from any suitable species) or a synthetic or     semi-synthetic immunoglobulin sequence. -   Aspect A-44: An amino acid sequence according to any of the     preceding aspects that is a humanized immunoglobulin sequence, a     camelized immunoglobulin sequence or an immunoglobulin sequence that     has been obtained by techniques such as affinity maturation. -   Aspect A-45: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a light chain     variable domain sequence (e.g. a VL-sequence); or of a heavy chain     variable domain sequence (e.g. a VH-sequence). -   Aspect A-46: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a heavy chain     variable domain sequence that is derived from a conventional     four-chain antibody or that essentially consist of a heavy chain     variable domain sequence that is derived from heavy chain antibody. -   Aspect A-47: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a domain antibody     (or an An amino acid sequence that is suitable for use as a domain     antibody), of a single domain antibody (or an An amino acid sequence     that is suitable for use as a single domain antibody), of a “dAb”     (or an An amino acid sequence that is suitable for use as a dAb) or     of a Nanobody (including but not limited to a VHH sequence). -   Aspect A-48: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a Nanobody. -   Aspect A-49: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a Nanobody that     -   i) has at least 80% amino acid identity with at least one of the         An amino acid sequences of SEQ ID NOs: 1 to 22, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-50: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a polypeptide that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 650 to 693, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-51: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a Nanobody that     -   (i) has at least 80% amino acid identity with at least one of         the amino acid sequences of SEQ ID NOs: 650 to 693, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   (ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect A-52: An amino acid sequence according to any of the     preceding aspects, that essentially consists of a humanized     Nanobody. -   Aspect A-53: An amino acid sequence according to any of the     preceding aspects, that in addition to the at least one binding site     for binding against IL-17A, IL-17F and IL-17A/F contains one or more     further binding sites for binding against other antigens, proteins     or targets. -   Aspect A-54: An amino acid sequence according to each and any of the     preceding aspects A-1 to A-53, in which said amino acid sequence is     an ISV (as defined herein) and functions as a binding unit.

CDR-Based Aspects

-   Aspect B-1: An amino acid sequence that is directed against and/or     that can specifically bind (e.g. a binding unit) any of IL-17A,     IL-17F and/or IL-17A/F including combinations thereof, and that     comprises one or more stretches of amino acid residues chosen from     the group consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551;         or any suitable combination thereof.

Such an amino acid sequence may in particular be an amino acid sequence according to any of the aspects A-1 to A-54.

-   Aspect B-2: An amino acid sequence according to aspect B-1, in which     at least one of said stretches of amino acid residues forms part of     the antigen binding site for binding against any of IL-17A, IL-17F     and/or IL-17A/F including combinations thereof. -   Aspect B-3: An amino acid sequence sequence that is directed against     and/or that can specifically bind any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof and that comprises two or     more stretches of amino acid residues chosen from the group     consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551;         that (i) when the first stretch of amino acid residues         corresponds to one of the amino acid sequences according to         a), b) or c), the second stretch of amino acid residues         corresponds to one of the amino acid sequences according to d),         e), f), g), h) or i); (ii) when the first stretch of amino acid         residues corresponds to one of the amino acid sequences         according to d), e) or f), the second stretch of amino acid         residues corresponds to one of the amino acid sequences         according to a), b), c), g), h) or i); or (iii) when the first         stretch of amino acid residues corresponds to one of the amino         acid sequences according to g), h) or i), the second stretch of         amino acid residues corresponds to one of the amino acid         sequences according to a), b), c), d), e) or f).

Such an amino acid sequence may in particular be an amino acid sequence according to any of the aspects A-1 to A-54, B-1 or B-2.

-   Aspect B-4: An amino acid sequence according to aspect B-3, in which     the at least two stretches of amino acid residues forms part of the     antigen binding site for binding against any of IL-17A, IL-17F     and/or IL-17A/F including combinations thereof. -   Aspect B-5: An amino acid sequence sequence that is directed against     and/or that can specifically bind any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof and that comprises three or     more stretches of amino acid residues, in which the first stretch of     amino acid residues is chosen from the group consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ 1D         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;         the second stretch of amino acid residues is chosen from the         group consisting of:     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;         and the third stretch of amino acid residues is chosen from the         group consisting of:     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551.

Such an amino acid sequence may in particular be an amino acid sequence according to any of the aspects A-1 to A-54 and/or B-1 to B-4.

-   Aspect B-6: An amino acid sequence according to aspect B-5, in which     the at least three stretches of amino acid residues forms part of     the antigen binding site for binding against any of IL-17A, IL-17F     and/or IL-17A/F including combinations thereof. -   Aspect B-7: An amino acid sequence that is directed against and/or     that can specifically bind any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof in which the CDR sequences of said     amino acid sequence have at least 70% amino acid identity,     preferably at least 80% amino acid identity, more preferably at     least 90% amino acid identity, such as 95% amino acid identity or     more or even essentially 100% amino acid identity with the CDR     sequences of at least one of the amino acid sequences of SEQ ID NOs:     623 to 693. Such an amino acid sequence may in particular be an     amino acid sequence according to any of the aspects A-1 to A-54     and/or B-1 to B-6. -   Aspect B-8: An amino acid sequence according to each and any of the     preceding aspects B-1 to B-7, in which said amino acid sequence is     an ISV (as defined herein). -   Aspect C-1: An amino acid sequence that is directed against any of     IL-17A, IL-17F and/or IL-17A/F including combinations thereof and     that cross-blocks the binding (e.g. a binding unit) of at least one     of the amino acid sequences of SEQ ID NOs: 623 to 693 to any of     IL-17A, IL-17F and/or IL-17A/F including combinations thereof. Such     an amino acid sequence may in particular be an amino acid sequence     according to any of the aspects A-1 to A-54 and/or according to     aspects B-1 to B-8. Also, preferably, such an amino acid sequence is     able to specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof. -   Aspect C-2: An amino acid sequence that is directed against any of     IL-17A, IL-17F and/or IL-17A/F including combinations thereof and     that is cross-blocked from binding to any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof by at least one of the amino     acid sequences of SEQ ID NOs: 623 to 693. Such an amino acid     sequence may in particular be an amino acid sequence according to     any of the aspects A-1 to A-54 and/or according to aspects B-1 to     B-8. Also, preferably, such an amino acid sequence is able to     specifically bind to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof. -   Aspect C-3: An amino acid sequence according to any of aspects C-1     or C-2, wherein the ability of said amino acid sequence to     cross-block or to be cross-blocked is detected in a Biacore assay.

Aspect C-4: An amino acid sequence according to any of aspects C-1 to C-3 wherein the ability of said amino acid sequence to cross-block or to be cross-blocked is detected in an ELISA assay.

-   Aspect C-5: An amino acid sequence according to each and any of the     preceding aspects C-1 to C-4, in which said amino acid sequence is     an ISV (as defined herein), and preferably functions as a binding     unit. -   Aspect D-1: An amino acid sequence according to any of aspects B-1     to B-8 or C-1 to C-5, that is in essentially isolated form. -   Aspect D-2: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, and/or D1 for administration to a subject,     wherein said amino acid sequence does not naturally occur in said     subject. -   Aspect D-3: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, and/or D1 to D-2 that can specifically bind to     any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with a dissociation constant (K_(D)) of 10⁻⁵ to 10⁻¹² moles/litre or     less, and preferably 10⁻⁷ to 10⁻¹² moles/litre or less and more     preferably 10⁻⁸ to 10⁻¹² moles/litre. -   Aspect D-4: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, and/or D-1 to D-3 that can specifically bind to     any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with a rate of association (k_(on)-rate) of between 10² M⁻¹s⁻¹ to     about 10⁷ M⁻¹s⁻¹, preferably between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more     preferably between 10⁴ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. -   Aspect D-5: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, and/or D-1 to D-4 that can specifically bind to     any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with a rate of dissociation (k_(off) rate) between 1 s⁻¹ and 10⁻⁶     s⁻¹ preferably between 10⁻² s⁻¹ and 10⁻⁶ s⁻¹, more preferably     between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as between 10⁻⁴ s⁻¹ and 10⁻⁶     s⁻¹. -   Aspect D-6: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, and/or D-1 to D-5 that can specifically bind to     any of IL-17A, IL-17F and/or IL-17A/F including combinations thereof     with an affinity less than 500 nM, preferably less than 200 nM, more     preferably less than 10 nM, such as less than 500 pM. -   Aspect D-7: An amino acid sequence according to each and any of the     preceding aspects D-1 to D-6, in which said amino acid sequence is     an ISV (as defined herein), and preferably functions as a binding     unit.

The amino acid sequences according to aspects D-1 to D-7 may in particular be an amino acid sequence according to any of the aspects A-1 to A-54.

-   Aspect E-1: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5 and/or D1 to D-7, that is a naturally occurring     amino acid sequence (from any suitable species) or a synthetic or     semi-synthetic amino acid sequence. -   Aspect E-2: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 that comprises an     immunoglobulin fold or that under suitable conditions is capable of     forming an immunoglobulin fold. -   Aspect E-3: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 or E-2, that is an     immunoglobulin sequence. -   Aspect E-4: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-3, that is a     naturally occurring immunoglobulin sequence (from any suitable     species) or a synthetic or semi-synthetic immunoglobulin sequence. -   Aspect E-5: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-4 that is a humanized     immunoglobulin sequence, a camelized immunoglobulin sequence or an     immunoglobulin sequence that has been obtained by techniques such as     affinity maturation. -   Aspect E-6: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-5 that essentially     consists of a light chain variable domain sequence (e.g. a     V_(L)-sequence); or of a heavy chain variable domain sequence (e.g.     a V_(H)-sequence). -   Aspect E-7: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-6, that essentially     consists of a heavy chain variable domain sequence that is derived     from a conventional four-chain antibody or that essentially consist     of a heavy chain variable domain sequence that is derived from heavy     chain antibody. -   Aspect E-8: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-7, that essentially     consists of a domain antibody (or an An amino acid sequence that is     suitable for use as a domain antibody), of a single domain antibody     (or an An amino acid sequence that is suitable for use as a single     domain antibody), of a “dAb” (or an An amino acid sequence that is     suitable for use as a dAb) or of a Nanobody (including but not     limited to a V_(HH) sequence). -   Aspect E-9: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-8 that essentially     consists of a Nanobody. -   Aspect E-10: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-9 that essentially     consists of a Nanobody that     -   i) has at least 80% amino acid identity with at least one of the         amino acid sequences of SEQ ID NOs: 1 to 22, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect E-11: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-10, that essentially     consists of a Nanobody that     -   i) has at least 80% amino acid identity with at least one of the         An amino acid sequences of SEQ ID NOs: 623 to 693, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect E-12: An amino acid sequence according to any of aspects B-1     to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-11that essentially     consists of a humanized Nanobody. -   Aspect E-13: An amino acid sequence according to any of the aspects     B-1 to B-8, C-1 to C-5, D1 to D-7, and/or E-1 to E-11, that in     addition to the at least one binding site for binding formed by the     CDR sequences, contains one or more further binding sites for     binding against other antigens, proteins or targets. -   Aspect E-14: An amino acid sequence according to each and any of the     preceding aspects E-1 to E-13, in which said amino acid sequence is     an ISV (as defined herein), and preferably functions as a binding     unit.

The amino acid sequences according to aspects E-1 to E-14 may in particular be an amino acid sequence according to any of the aspects A-1 to A-54.

Framework+CDR's Aspects

-   Aspect F-1: An amino acid sequence that essentially consists of 4     framework regions (FR1 to FR4, respectively) and 3 complementarity     determining regions (CDR1 to CDR3, respectively), in which:     -   CDR1 is chosen from the group consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;         and/or     -   CDR2 is chosen from the group consisting of:     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or l amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;         and/or     -   CDR3 is chosen from the group consisting of:     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551.         Such an amino acid sequence is preferably directed against any         of IL-17A, IL-17F and/or IL-17A/F including combinations thereof         and/or an amino acid sequence that can specifically bind (e.g.         as a binding unit) to any of IL-17A, IL-17F and/or IL-17A/F         including combinations thereof. Also, such an amino acid         sequence is preferably an amino acid sequence according to any         of the aspects A-1 to A-54, C-1 to C-5, D1 to D-7 and/or E-1 to         E-14. -   Aspect F-2: An amino acid sequence that essentially consists of 4     framework regions (FR1 to FR4, respectively) and 3 complementarity     determining regions (CDR1 to CDR3, respectively), in which:     -   CDR1 is chosen from the group consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;         and     -   CDR2 is chosen from the group consisting of:     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;         and     -   CDR3 is chosen from the group consisting of:     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551.         Such an amino acid sequence is preferably directed against any         of IL-17A, IL-17F and/or IL-17A/F including combinations thereof         and/or an amino acid sequence that can specifically bind (e.g.         as a binding unit) to any of IL-17A, IL-17F and/or IL-17A/F         including combinations thereof. Also, such an amino acid         sequence is preferably an amino acid sequence according to any         of the aspects A-1 to A-54, C-1 to C-5, D1 to D-7 and/or E-1 to         E-14. -   Aspect F-3: An amino acid sequence according to any of aspects F-1     and F-2, in which the CDR sequences of said amino acid sequence have     at least 70% amino acid identity, preferably at least 80% amino acid     identity, more preferably at least 90% amino acid identity, such as     95% amino acid identity or more or even essentially 100% amino acid     identity with the CDR sequences of at least one of the amino acid     sequences of SEQ ID NOs: 623 to 693.     Such an amino acid sequence is preferably directed against any of     IL-17A, IL-17F and/or IL-17A/F including combinations thereof and/or     an amino acid sequence that can specifically bind to any of IL-17A,     IL-17F and/or IL-17A/F including combinations thereof. Also, such an     amino acid sequence is preferably an amino acid sequence according     to any of the aspects A-1 to A-54, C-1 to C-5, D1 to D-7 and/or E-1     to E-14. -   Aspect F-4: An amino acid sequence according to any of aspects F-1     to F-3 that is directed against any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof and that cross-blocks the     binding of at least one of the amino acid sequences according to any     of aspects the amino acid sequences of SEQ ID NOs: 623 to 693. -   Aspect F-5: An amino acid sequence according to any of aspects F-1     to F-3 that is directed against any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof and that is cross-blocked     from binding to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof by at least one of the amino acid sequences of     SEQ ID NOs: 623 to 693. -   Aspect F-6: Amino acid sequence according to any of aspects F-4 or     F-5 wherein the ability of said amino acid sequence to cross-block     or to be cross-blocked is detected in a Biacore assay. -   Aspect F-7: Amino acid sequence according to any of aspects F4 or     F-5 wherein the ability of said amino acid sequence to cross-block     or to be cross-blocked is detected in an ELISA assay. -   Aspect F-8: An amino acid sequence according to any of aspects F-1     to F-7, that is in essentially isolated form. -   Aspect F-9: An amino acid sequence according to any of aspects F-1     to F-8, for administration to a subject, wherein said an amino acid     sequence does not naturally occur in said subject. -   Aspect F-10: An amino acid sequence according to any of aspects F-1     to F-9, that can specifically bind to any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof with a dissociation constant     (K_(D)) of 10⁻⁵ to 10⁻¹² moles/litre or less, and preferably 10⁻⁷ to     10⁻¹² moles/litre or less and more preferably 10⁻⁸ to 10⁻¹²     moles/litre. -   Aspect F-11: An amino acid sequence according to any of aspects F-1     to F-10, that can specifically bind to any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof with a rate of association     (k_(on)-rate) of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably     between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. -   Aspect F-12: An amino acid sequence according to any of aspects F-1     to F-11, that can specifically bind to any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof with a rate of dissociation     (k_(off) rate) between 1 s⁻¹ and 10⁻⁶ s⁻¹ preferably between 10⁻²     s⁻¹ and 10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹,     such as between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. -   Aspect F-13: An amino acid sequence according to any of aspects F-1     to F-12, that can specifically bind to any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof with an affinity less than     500 nM, preferably less than 200 nM, more preferably less than 10     nM, such as less than 500 pM. -   Aspect F-14: An amino acid sequence according to any of aspects F-1     to F-13, that is a naturally occurring amino acid sequence (from any     suitable species) or a synthetic or semi-synthetic amino acid     sequence. -   Aspect F-15: An amino acid sequence according to any of aspects F-1     to F-14, that comprises an immunoglobulin fold or that under     suitable conditions is capable of forming an immunoglobulin fold. -   Aspect F-16: An amino acid sequence according to any of aspects F-1     to F-15, that is an immunoglobulin sequence, and in particular an     ISV. -   Aspect F-17: An amino acid sequence according to any of aspects F-1     to F-16, that is a naturally occurring immunoglobulin sequence (from     any suitable species) or a synthetic or semi-synthetic     immunoglobulin sequence. -   Aspect F-18: An amino acid sequence according to any of aspects F-1     to F-17, that is a humanized immunoglobulin sequence, a camelized     immunoglobulin sequence or an immunoglobulin sequence that has been     obtained by techniques such as affinity maturation. -   Aspect F-19: An amino acid sequence according to any of aspects F-1     to F-18, that essentially consists of a light chain variable domain     sequence (e.g. a V_(L)-sequence); or of a heavy chain variable     domain sequence (e.g. a V_(H)-sequence) -   Aspect F-20: An amino acid sequence according to any of aspects F-1     to F-19, that essentially consists of a heavy chain variable domain     sequence that is derived from a conventional four-chain antibody or     that essentially consist of a heavy chain variable domain sequence     that is derived from heavy chain antibody. -   Aspect F-21: An amino acid sequence according to any of aspects F-1     to F-20, that essentially consists of a domain antibody (or an amino     acid sequence that is suitable for use as a domain antibody), of a     single domain antibody (or an amino acid sequence that is suitable     for use as a single domain antibody), of a “dAb” (or an amino acid     sequence that is suitable for use as a dAb) or of a Nanobody     (including but not limited to a V_(HH) sequence). -   Aspect F-22: An amino acid sequence according to any of aspects F-1     to F-21, that essentially consists of a Nanobody. -   Aspect F-23: An amino acid sequence according to any of aspects F-1     to F-22, that essentially consists of a Nanobody that     -   i) has at least 80% amino acid identity with at least one of the         amino acid sequences of SEQ ID NOs: 1 to 22, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect F-24: An amino acid sequence according to any of aspects F-1     to F-23, that essentially consists of a Nanobody that     -   i) has at least 80% amino acid identity with at least one of the         amino acid sequences of SEQ ID NOs: 623 to 693, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect F-25: An amino acid sequence according to any of aspects F-1     to F-24, that essentially consists of a humanized Nanobody. -   Aspect G-1: An amino acid sequence according to any of the preceding     aspects, that in addition to the at least one binding site for     binding formed by the CDR sequences, contains one or more further     binding sites (e.g. as binding units) for binding against another     antigen, protein or target. -   Aspect H-1: Nanobody that is directed against and/or that can     specifically bind (e.g. as a binding unit) to any of IL-17A, IL-17F     and/or IL-17A/F including combinations thereof. -   Aspect H-2: Nanobody according to aspect H-1, that is in essentially     isolated form. -   Aspect H-3: Nanobody according to any of aspects H-1 to H-2, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a dissociation constant (K_(D))     of 10⁻⁵ to 10⁻¹² moles/litre or less, and preferably 10⁻⁷ to 10⁻¹²     moles/litre or less and more preferably 10⁻⁸ to 10⁻¹² moles/litre. -   Aspect H-4: Nanobody according to any of aspects H-1 to H-3, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of association     (k_(on)-rate) of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably     between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. -   Aspect H-5: Nanobody according to any of aspects H-1 to H-4, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of dissociation (k_(off)     rate) between 1 s⁻¹ and 10⁻⁶ s⁻¹ preferably between 10⁻² s⁻¹ and     10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as     between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. -   Aspect H-6: Nanobody according to any of aspects H-1 to H-5, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with an affinity less than 500 nM,     preferably less than 200 nM, more preferably less than 10 nM, such     as less than 500 pM. -   Aspect H-7: Nanobody according to any of aspects H-1 to H-6, that is     a naturally occurring Nanobody (from any suitable species) or a     synthetic or semi-synthetic Nanobody. -   Aspect H-8: Nanobody according to any of aspects to H-1 to H-7, that     is a V_(HH) sequence, a partially humanized V_(HH) sequence, a fully     humanized V_(HH) sequence, a camelized heavy chain variable domain     or a Nanobody that has been obtained by techniques such as affinity     maturation. -   Aspect H-9: Nanobody according to any of aspects H-1 to H-8, that     -   i) has at least 80% amino acid identity with at least one of the         An amino acid sequences of SEQ ID NOs: 1 to 22, in which for the         purposes of determining the degree of amino acid identity, the         amino acid residues that form the CDR sequences are disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect H-10: Nanobody according to any of aspects H-1 to H-9, that     -   i) has at least 80% amino acid identity with at least one of the         An amino acid sequences of SEQ ID NOs: 623 to 693, in which for         the purposes of determining the degree of amino acid identity,         the amino acid residues that form the CDR sequences are         disregarded;         and in which:     -   ii) preferably one or more of the amino acid residues at         positions 11, 37, 44, 45, 47, 83, 84, 103, 104 and 108 according         to the Kabat numbering are chosen from the Hallmark residues         mentioned in Table B-2. -   Aspect H-11: Nanobody according to any of aspects H-1 to H-10, in     which:     -   CDR1 is chosen from the group consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;         and/or     -   CDR2 is chosen from the group consisting of:     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;         and/or     -   CDR3 is chosen from the group consisting of:     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551. -   Aspect H-12: Nanobody according to any of aspects H-1 to H-11, in     which:     -   CDR1 is chosen from the group consisting of:     -   a) the amino acid sequences of SEQ ID NOs: 197 to 267;     -   b) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 197 to 267;     -   c) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 197 to 267;         and     -   CDR2 is chosen from the group consisting of:     -   d) the amino acid sequences of SEQ ID NOs: 339 to 409;     -   e) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 339 to 409;     -   f) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 339 to 409;         and     -   CDR3 is chosen from the group consisting of:     -   g) the amino acid sequences of SEQ ID NOs: 481 to 551;     -   h) amino acid sequences that have at least 80% amino acid         identity with at least one of the amino acid sequences of SEQ ID         NOs: 481 to 551;     -   i) amino acid sequences that have 3, 2, or 1 amino acid         difference with at least one of the amino acid sequences of SEQ         ID NOs: 481 to 551. -   Aspect H-13: Nanobody according to any of aspects H-1 to H-I2, in     which the CDR sequences have at least 70% amino acid identity,     preferably at least 80% amino acid identity, more preferably at     least 90% amino acid identity, such as 95% amino acid identity or     more or even essentially 100% amino acid identity with the CDR     sequences of at least one of the amino acid sequences of SEQ ID NOs:     623 to 693. -   Aspect H-14: Nanobody according to any of aspects H-1 to H-13, which     is a partially humanized Nanobody. -   Aspect H-15: Nanobody according to any of aspects H-1 to H-14, which     is a fully humanized Nanobody. -   Aspect H-16: Nanobody according to any of aspects H-1 to H-15, that     is chosen from the group consisting of SEQ ID NOs: 623 to 693 or     from the group consisting of from amino acid sequences that have     more than 80%, preferably more than 90%, more preferably more than     95%, such as 99% or more sequence identity (as defined herein) with     at least one of the amino acid sequences of SEQ ID NOs: 623 to 693. -   Aspect H-17: Nanobody according to any of aspects H-1 to H-16, which     is a humanized Nanobody that is chosen from the group consisting of     from amino acid sequences that have more than 80%, preferably more     than 90%, more preferably more than 95%, such as 99% or more     sequence identity (as defined herein) with at least one of the amino     acid sequences of SEQ ID NOs: 623 to 693. -   Aspect H-18: Nanobody according to any of aspects H-1 to H-17, that     is chosen from the group consisting of SEQ ID NOs: 623 to 693. -   Aspect H-19: Nanobody directed against any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof that cross-blocks the     binding of at least one of the amino acid sequences of SEQ ID NOs:     623 to 693 to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof. -   Aspect H-20: Nanobody directed against any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof that is cross-blocked from     binding to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof by at least one of the amino acid sequences of     SEQ ID NOs: 623 to 693. -   Aspect H-21: Nanobody according to any of aspects H-19 or H-20     wherein the ability of said Nanobody to cross-block or to be     cross-blocked is detected in a Biacore assay. -   Aspect H-22: Nanobody according to any of aspects H-19 to H-21     wherein the ability of said Nanobody to cross-block or to be     cross-blocked is detected in an ELISA assay

Polypeptides.

-   Aspect K-1: Polypeptide that comprises or essentially consists of     one or more amino acid sequences according to any of aspects A-1 to     A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25     or G-1 and/or one or more Nanobodies according to any of aspects H-1     to H-22, and optionally further comprises one or more peptidic     linkers and/or one or more other groups, residues, moieties or     binding units. -   Aspect K-2: Polypeptide according to aspect K-1, in which said one     or more binding units are immunoglobulin sequences, and in     particular ISV's. -   Aspect K-3: Polypeptide according to any of aspects K-1 or K-2, in     which said one or more other groups, residues, moieties or binding     units are chosen from the group consisting of domain antibodies,     amino acid sequences that are suitable for use as a domain antibody,     single domain antibodies, amino acid sequences that are suitable for     use as a single domain antibody, “dAb”'s, amino acid sequences that     are suitable for use as a dAb, or Nanobodies. -   Aspect K-4: Polypeptide according to any of aspects K-1 to K-3, in     which said one or more amino acid sequences of the invention are     immunoglobulin sequences. -   Aspect K-5: Polypeptide according to any of aspects K-1 to K-4, in     which said one or more amino acid sequences of the invention are     chosen from the group consisting of domain antibodies, amino acid     sequences that are suitable for use as a domain antibody, single     domain antibodies, amino acid sequences that are suitable for use as     a single domain antibody, “dAb”'s, amino acid sequences that are     suitable for use as a dAb, or Nanobodies. -   Aspect K-6: Polypeptide according to any of aspects K-1 to K-5, that     comprises or essentially consists of one or more Nanobodies     according to any of aspects H-1 to H-22 and in which said one or     more other binding units are Nanobodies. -   Aspect K-7: Polypeptide according to any of aspects K-1 to K-6,     wherein at least one binding unit is a multivalent construct. -   Aspect K-8: Polypeptide according to any of aspects K-1 to K-8,     wherein at least one binding unit is a multiparatopic construct. -   Aspect K-9: Polypeptide according to any of aspects K-1 to K-8,     wherein at least one binding unit is a multispecific construct. -   Aspect K-10: Polypeptide according to any of aspects K-1 to K-9,     which has an increased half-life, compared to the corresponding     amino acid sequence according to any of aspects A-1 to A-54, B-1 to     B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25 or G-1 per se     or Nanobody according to any of aspects H-1 to H-22 per se,     respectively. -   Aspect K-11: Polypeptide according to aspect K-10, in which said one     or more other binding units provide the polypeptide with increased     half-life, compared to the corresponding amino acid sequence     according to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1     to D-7, E-1 to E-14, F-1 to F-25 or G-1 per se or Nanobody according     to any of aspects H-1 to H-22 per se, respectively. -   Aspect K-12: Polypeptide according to aspect K-10 or K-11, in which     said one or more other binding units that provide the polypeptide     with increased half-life is chosen from the group consisting of     serum proteins or fragments thereof, binding units that can bind to     serum proteins, an Fc portion, and small proteins or peptides that     can bind to serum proteins. -   Aspect K-13: Polypeptide according to any of aspects K-10 to K-12,     in which said one or more other binding units that provide the     polypeptide with increased half-life is chosen from the group     consisting of human serum albumin or fragments thereof. -   Aspect K-14: Polypeptide according to any of aspect K-10 to K-13, in     which said one or more other binding units that provides the     polypeptide with increased half-life are chosen from the group     consisting of binding units that can bind to serum albumin (such as     human serum albumin) or a serum immunoglobulin (such as IgG). -   Aspect K-15: Polypeptide according to any of aspects K-10 to K-14,     in which said one or more other binding units that provides the     polypeptide with increased half-life are chosen from the group     consisting of domain antibodies, amino acid sequences that are     suitable for use as a domain antibody, single domain antibodies,     amino acid sequences that are suitable for use as a single domain     antibody, “dAb”'s , amino acid sequences that are suitable for use     as a dAb, or Nanobodies that can bind to serum albumin (such as     human serum albumin) or a serum immunoglobulin (such as IgG). -   Aspect K-16: Polypeptide according to aspect K-10 to K-15, in which     said one or more other binding units that provides the polypeptide     with increased half-life is a Nanobody that can bind to serum     albumin (such as human serum albumin) or a serum immunoglobulin     (such as IgG). -   Aspect K-17: Polypeptide according to any of aspects K-10 to K-16,     that has a serum half-life that is at least 1.5 times, preferably at     least 2 times, such as at least 5 times, for example at least 10     times or more than 20 times, greater than the half-life of the     corresponding amino acid sequence according to any of aspects A-1 to     A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25     or G-1 per se or Nanobody according to any of aspects H-1 to H-22     per se, respectively. -   Aspect K-18: Polypeptide according to any of aspects K-10 to K-17,     that has a serum half-life that is increased with more than 1 hours,     preferably more than 2 hours, more preferably more than 6 hours,     such as more than 12 hours, or even more than 24, 48 or 72 hours,     compared to the corresponding amino acid sequence according to any     of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to     E-14, F-1 to F-25 or G-1 per se or Nanobody according to any of     aspects H-1 to H-22 per se, respectively. -   Aspect K-19: Polypeptide according to any of aspects K-1 to K-18,     that has a serum half-life in human of at least about 12 hours,     preferably at least 24 hours, more preferably at least 48 hours,     even more preferably at least 72 hours or more; for example, of at     least 5 days (such as about 5 to 10 days), preferably at least 9     days (such as about 9 to 14 days), more preferably at least about 10     days (such as about 10 to 15 days), or at least about 11 days (such     as about 11 to 16 days), more preferably at least about 12 days     (such as about 12 to 18 days or more), or more than 14 days (such as     about 14 to 19 days).

Compound or Construct.

-   Aspect L-1: Compound or construct, that comprises or essentially     consists of one or more amino acid sequences according to any of     aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to     E-14, F-1 to F-25 or G-1 and/or one or more Nanobodies according to     any of aspects H-1 to H-22, and optionally further comprises one or     more other groups, residues, moieties or binding units, optionally     linked via one or more linkers. -   Aspect L-2: Compound or construct according to aspects L-1, in which     said one or more other groups, residues, moieties or binding units     are amino acid sequences. -   Aspect L-3: Compound or construct according to aspect L-1 or L-2, in     which said one or more linkers, if present, are one or more amino     acid sequences. -   Aspect L-4: Compound or construct according to any of aspects L-1 to     L-3, in which said one or more other groups, residues, moieties or     binding units are immunoglobulin sequences, and in particular ISV's. -   Aspect L-5: Compound or construct according to any of aspects L-1 to     L-4, in which said one or more other groups, residues, moieties or     binding units are chosen from the group consisting of domain     antibodies, amino acid sequences that are suitable for use as a     domain antibody, single domain antibodies, amino acid sequences that     are suitable for use as a single domain antibody, “dAb”'s, amino     acid sequences that are suitable for use as a dAb, or Nanobodies. -   Aspect L-6: Compound or construct according to any of aspects L-1 to     L-5, in which said one or more amino acid sequences of the invention     are immunoglobulin sequences. -   Aspect L-7: Compound or construct according to any of aspects L-1 to     L-6, in which said one or more amino acid sequences of the invention     are chosen from the group consisting of domain antibodies, amino     acid sequences that are suitable for use as a domain antibody,     single domain antibodies, amino acid sequences that are suitable for     use as a single domain antibody, “dAb”'s, amino acid sequences that     are suitable for use as a dAb, or Nanobodies. -   Aspect L-8: Compound or construct, that comprises or essentially     consists of one or more Nanobodies according to any of aspects H-1     to H-22 and in which said one or more other groups, residues,     moieties or binding units are Nanobodies. -   Aspect L-9: Compound or construct according to any of aspects L-1 to     L-9, which is a multivalent construct. -   Aspect L-10: Compound or construct according to any of aspects L-1     to L-10, which is a multispecific construct. -   Aspect L-11: Compound or construct according to any of aspects L-1     to L-10, which has an increased half-life, compared to the     corresponding amino acid sequence according to any of aspects A-1 to     A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25     or G-1 per se or Nanobody according to any of aspects H-1 to H-22     per se, respectively. -   Aspect L-12: Compound or construct according to aspect L-1 to L-11,     in which said one or more other groups, residues, moieties or     binding units provide the compound or construct with increased     half-life, compared to the corresponding amino acid sequence     according to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1     to D-7, E-1 to E-14, F-1 to F-25 or G-1 per se or Nanobody according     to any of aspects H-1 to H-22 per se, respectively. -   Aspect L-13: Compound or construct according to aspect L-12, in     which said one or more other groups, residues, moieties or binding     units that provide the compound or construct with increased     half-life is chosen from the group consisting of serum proteins or     fragments thereof, binding units that can bind to serum proteins, an     Fc portion, and small proteins or peptides that can bind to serum     proteins. -   Aspect L-14: Compound or construct according to aspect L-12 or L-13,     in which said one or more other groups, residues, moieties or     binding units that provide the compound or construct with increased     half-life is chosen from the group consisting of human serum albumin     or fragments thereof. -   Aspect L-15: Compound or construct according to any of aspects L-12     to L-14, in which said one or more other groups, residues, moieties     or binding units that provides the compound or construct with     increased half-life are chosen from the group consisting of binding     units that can bind to serum albumin (such as human serum albumin)     or a serum immunoglobulin (such as IgG). -   Aspect L-16: Compound or construct according to any of aspects L-12     to L-14, in which said one or more other groups, residues, moieties     or binding units that provides the compound or construct with     increased half-life are chosen from the group consisting of domain     antibodies, amino acid sequences that are suitable for use as a     domain antibody, single domain antibodies, amino acid sequences that     are suitable for use as a single domain antibody, “dAb”'s , amino     acid sequences that are suitable for use as a dAb, or Nanobodies     that can bind to serum albumin (such as human serum albumin) or a     serum immunoglobulin (such as IgG). -   Aspect L 17: Compound or construct according to any of aspects L-12     to L-14, in which said one or more other groups, residues, moieties     or binding units that provides the compound or construct with     increased half-life is a Nanobody that can bind to serum albumin     (such as human serum albumin) or a serum immunoglobulin (such as     IgG). -   Aspect L-18: Compound or construct according to any of aspects L-12     to L-17, that has a serum half-life that is at least 1.5 times,     preferably at least 2 times, such as at least 5 times, for example     at least 10 times or more than 20 times, greater than the half-life     of the corresponding amino acid sequence according to any of aspects     A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to     F-25 or G-1 per se or Nanobody according to any of aspects H-1 to     H-22 per se, respectively. -   Aspect L-19: Compound or construct according to any of aspects L-12     to L-18, that has a serum half-life that is increased with more than     1 hours, preferably more than 2 hours, more preferably more than 6     hours, such as more than 12 hours, or even more than 24, 48 or 72     hours, compared to the corresponding amino acid sequence according     to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7,     E-1 to E-14, F-1 to F-25 or G-1 per se or Nanobody according to any     of aspects H-1 to H-22 per se, respectively. -   Aspect L-20: Compound or construct according to any of aspects L-12     to L-19, that has a serum half-life in human of at least about 12     hours, preferably at least 24 hours, more preferably at least 48     hours, even more preferably at least 72 hours or more; for example,     of at least 5 days (such as about 5 to 10 days), preferably at least     9 days (such as about 9 to 14 days), more preferably at least about     10 days (such as about 10 to 15 days), or at least about 11 days     (such as about 11 to 16 days), more preferably at least about 12     days (such as about 12 to 18 days or more), or more than 14 days     (such as about 14 to 19 days). -   Aspect L-21: Monovalent construct, comprising or essentially     consisting of one amino acid sequence according to any of aspects     A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to     F-25 or G-1 and/or one Nanobody according to any of aspects H-1 to     H-22. -   Aspect L-22: Monovalent construct according to aspect L-21, in which     said amino acid sequence of the invention is chosen from the group     consisting of domain antibodies, amino acid sequences that are     suitable for use as a domain antibody, single domain antibodies,     amino acid sequences that are suitable for use as a single domain     antibody, “dAb”'s, amino acid sequences that are suitable for use as     a dAb, or Nanobodies. -   Aspect L-23: Monovalent construct, comprising or essentially     consisting of one Nanobody according to any of aspects H-1 to H-22.

Nucleic Acid

-   Aspect M-1: Nucleic acid or nucleotide sequence, that encodes an     amino acid sequence according to any of aspects A-1 to A-54, B-1 to     B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25 or G-1, a     Nanobody according to any of aspects H-1 to H-22, a compound or     construct according to any of aspects that is such that it can be     obtained by expression of a nucleic acid or nucleotide sequence     encoding the same, or a monovalent construct according to any of     aspects. -   Aspect M-2: Nucleic acid or nucleotide sequence according to aspect     M-1, that is in the form of a genetic construct.

Host Cell

-   Aspect N-1: Host or host cell that expresses, or that under suitable     circumstances is capable of expressing, an amino acid sequence     according to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1     to D-7, E-1 to E-14, F-1 to F-25 or G-1, a Nanobody according to any     of aspects H-1 to H-22, a polypeptide according to any of aspects     K-1 to K-19, a compound or construct according to any of aspects L-1     to L-21 that is such that it can be obtained by expression of a     nucleic acid or nucleotide sequence encoding the same, or a     monovalent construct according to any of aspects L-22 or L-23;     and/or that comprises a nucleic acid or nucleotide sequence     according to aspect M-1 or a genetic construct according to aspect     M-2.

Compositions

-   Aspect O-1: Composition comprising at least one amino acid sequence     according to any of aspects A-1 to A-5454, B-1 to B-8, C-1 to C-5,     D-1 to D-7, E-1 to E-14, F-1 to F-25 or G-1, Nanobody according to     any of aspects H-1 to H-22, polypeptide according to any of aspects     K-1 to K-19, compound or construct according to any of aspects L-1     to L-21, monovalent construct according to any of aspects L-22 or     L-23, or nucleic acid or nucleotide sequence according to aspects     M-1 or M-2. -   Aspect O-2: Composition according to aspect O-1, which is a     pharmaceutical composition. -   Aspect O-3: Composition according to aspect O-2, which is a     pharmaceutical composition, that further comprises at least one     pharmaceutically acceptable carrier, diluent or excipient and/or     adjuvant, and that optionally comprises one or more further     pharmaceutically active polypeptides and/or compounds.

Making of Agent and Composition of the Invention

-   Aspect P-1: Method for producing an amino acid sequence according to     any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1     to E-14, F-1 to F-25 or G-1, a Nanobody according to any of aspects     H-1 to H-22, a polypeptide according to any of aspects K-1 to K-19,     a compound or construct according to any of aspects L-1 to L-21 that     is such that it can be obtained by expression of a nucleic acid or     nucleotide sequence encoding the same, or a monovalent construct     according to any of aspects L-22 or L-23, said method at least     comprising the steps of:     -   a) expressing, in a suitable host cell or host organism or in         another suitable expression system, a nucleic acid or nucleotide         sequence according to aspect M-1, or a genetic construct         according to aspect M-2;         optionally followed by:     -   b) isolating and/or purifying the amino acid sequence according         to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to         D-7, E-1 to E-14, F-1 to F-25 or G-1, a Nanobody according to         any of aspects H-1 to H-22, a polypeptide according to any of         aspects K-1 to K-19, a compound or construct according to any of         aspects L-1 to L-21, or a monovalent construct according to any         of aspects L-22 or L-23 thus obtained. -   Aspect P-2: Method for producing an amino acid sequence according to     any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1     to E-14, F-1 to F-25 or G-1, a Nanobody according to any of aspects     H-1 to H-22, a polypeptide according to any of aspects K-1 to K-19,     a compound or construct according to any of aspects L-1 to L-21 that     is such that it can be obtained by expression of a nucleic acid or     nucleotide sequence encoding the same, or a monovalent construct     according to any of aspects L-22 or L-23, said method at least     comprising the steps of:     -   a) cultivating and/or maintaining a host or host cell according         to aspect . . . under conditions that are such that said host or         host cell expresses and/or produces at least one amino acid         sequence according to any of aspects A-1 to A-54, B-1 to B-8,         C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25 or G-1,         Nanobody according to any of aspects H-1 to H-22, a polypeptide         according to any of aspects K-1 to K-19, a compound or construct         according to any of aspects L-1 to L-21, or monovalent construct         according to any of aspects L-22 or L-23;         optionally followed by:     -   b) isolating and/or purifying the amino acid sequence according         to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to         D-7, E-1 to E-14, F-1 to F-25 or G-1, Nanobody according to any         of aspects H-1 to H-22, a polypeptide according to any of         aspects K-1 to K-19, a compound or construct according to any of         aspects L-1 to L-21, or monovalent construct according to any of         aspects L-22 or L-23 thus obtained.

Method of Screening Using Leads

-   Aspect Q-1: Method for screening amino acid sequences directed     against any of IL-17A, IL-17F and/or IL-17A/F including combinations     thereof that comprises at least the steps of:     -   a) providing a set, collection or library of nucleic acid         sequences encoding amino acid sequences;     -   b) screening said set, collection or library of nucleic acid         sequences for nucleic acid sequences that encode an amino acid         sequence that can bind to and/or has affinity for any of IL-17A,         IL-17F and/or IL-17A/F including combinations thereof and that         is cross-blocked or is cross blocking a Nanobody of the         invention, e.g. SEQ ID NO: 623 to 693 (Table-1); and     -   c) isolating said nucleic acid sequence, followed by expressing         said amino acid sequence.

Use of Binding Agent of the Invention

-   Aspect R-1: Method for the prevention and/or treatment of at least     one immune related diseases and disorders of the invention, said     method comprising administering, to a subject in need thereof, a     pharmaceutically active amount of at least one amino acid sequence     according to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1     to D-7, E-1 to E-14, F-1 to F-25 or G-1, Nanobody according to any     of aspects H-1 to H-22, polypeptide according to any of aspects K-1     to K-19, compound or construct according to any of aspects L-1 to     L-21, monovalent construct according to any of aspects L-22 or L-23;     or composition according to aspect O-2 or O-3. -   Aspect R-2: Method for the prevention and/or treatment of at least     one disease or disorder that is associated with any of IL-17A,     IL-17F and/or IL-17A/F including combinations thereof, with its     biological or pharmacological activity, and/or with the biological     pathways or signalling in which any of IL-17A, IL-17F and/or     IL-17A/F including combinations thereof is involved, said method     comprising administering, to a subject in need thereof, a     pharmaceutically active amount of at least one amino acid sequence     according to any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1     to D-7, E-1 to E-14, F-1 to F-25 or G-1, Nanobody according to any     of aspects H-1 to H-22, polypeptide according to any of aspects K-1     to K-19, compound or construct according to any of aspects L-1 to     L-21, monovalent construct according to any of aspects L-22 or L-23;     or composition according to aspect O-2 or O-3. -   Aspect R-3: Method for the prevention and/or treatment of at least     one disease or disorder that can be prevented and/or treated by     administering, to a subject in need thereof, at least one amino acid     sequence according to any of aspects A-1 to A-54, B-1 to B-8, C-1 to     C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25 or G-1, Nanobody according     to any of aspects H-1 to H-22, polypeptide according to any of     aspects K-1 to K-19, compound or construct according to any of     aspects L-1 to L-21, monovalent construct according to any of     aspects L-22 or L-23; or composition according to aspect O-2 or O-3,     said method comprising administering, to a subject in need thereof,     a pharmaceutically active amount of at least one at least one amino     acid sequence according to any of aspects A-1 to A-54, B-1 to B-8,     C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25 or G-1, Nanobody     according to any of aspects H-1 to H-22, polypeptide according to     any of aspects K-1 to K-19, compound or construct according to any     of aspects L-1 to L-21, monovalent construct according to any of     aspects L-22 or L-23; or composition according to aspect O-2 or O-3. -   Aspect R-4: Method for immunotherapy, said method comprising     administering, to a subject in need thereof, a pharmaceutically     active amount of at least one amino acid sequence according to any     of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to     E-14, F-1 to F-25 or G-1, Nanobody according to any of aspects H-1     to H-22, polypeptide according to any of aspects K-1 to K-19,     compound or construct according to any of aspects L-1 to L-21,     monovalent construct according to any of aspects L-22 or L-23; or     composition according to aspect O-2 or O-3. -   Aspect R-5: Use of an amino acid sequence according to any of     aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to     E-14, F-1 to F-25 or G-1, a Nanobody according to any of aspects H-1     to H-22, a polypeptide according to any of aspects K-1 to K-19, a     compound or construct according to any of aspects L-1 to L-21, or a     monovalent construct according to any of aspects L-22 or L-23 in the     preparation of a pharmaceutical composition for prevention and/or     treatment of at least one immune related diseases and disorders of     the invention; and/or for use in one or more of the methods     according to aspects R-1 to R-3. -   Aspect R-6: Amino acid sequence according to any of aspects A-1 to     A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25     or G-1, Nanobody according to any of aspects H-1 to H-22,     polypeptide according to any of aspects K-1 to K-19, compound or     construct according to any of aspects L-1 to L-21, monovalent     construct according to any of aspects L-22 or L-23; or composition     according to aspect O-2 or O-3 for the prevention and/or treatment     of at least one immune related diseases and disorders of the     invention.

Fragment Aspects

-   Aspect S-1: Part or fragment of an amino acid sequence according to     any of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1     to E-14, F-1 to F-25 or G-1, or of a Nanobody according to any of     aspects H-1 to H-22. -   Aspect S-2: Part or fragment according to aspect S-1, that can     specifically bind to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof. -   Aspect S-3: Part of fragment according to any of aspects S-1 or S-2,     that can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a dissociation constant (K_(D))     of 10⁻⁵ to 10⁻¹² moles/litre or less, and preferably 10⁻⁷ to 10⁻¹²     moles/litre or less and more preferably 10⁻⁸ to 10⁻¹² moles/litre. -   Aspect S-4: Part or fragment according to any of aspects S-1 to S-3,     that can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of association     (k_(on)-rate) of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably     between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. -   Aspect S-5: Part or fragment according to any of aspects S-1 to S-4,     that can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of dissociation (k_(off)     rate) between 1 s⁻¹ and 10⁻⁶ s⁻¹ preferably between 10⁻² s⁻¹ and     10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as     between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. -   Aspect S-6: Compound or construct, that comprises or essentially     consists of one or more parts or fragments according to any of     aspects S-1 to S-4, and optionally further comprises one or more     other groups, residues, moieties or binding units, optionally linked     via one or more linkers. -   Aspect S-7: Compound or construct according to aspect S-6, in which     said one or more other groups, residues, moieties or binding units     are amino acid sequences. -   Aspect S-8: Compound or construct according to aspect S-6 or S-7, in     which said one or more linkers, if present, are one or more amino     acid sequences. -   Aspect S-9: Nucleic acid or nucleotide sequence, that encodes a part     or fragment according to any of aspects S-1 to S-7 or a compound or     construct according to aspect S-8. -   Aspect S-10: Composition, comprising at least one part or fragment     according to any of aspects S-1 to S-7, compound or construct     according to any of aspects S-6 to S-8, or nucleic acid or     nucleotide sequence according to aspect S-9.

Derivatives Aspects

-   Aspect T-1: Derivative of an amino acid sequence according to any of     aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to     E-14, F-1 to F-25 or G-1, or of a Nanobody according to any of     aspects H-1 to H-22. -   Aspect T-2: Derivative according to aspect T-1, that can     specifically bind to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof. -   Aspect T-3: Derivative according to any of aspects T-1 or T-2, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a dissociation constant (K_(D))     of 10⁻⁵ to 10⁻¹² moles/litre or less, and preferably 10⁻⁷ to 10⁻¹²     moles/litre or less and more preferably 10⁻⁸ to 10 ⁻¹² moles/litre. -   Aspect T-4: Derivative according to any of aspects T-1 to T-3, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of association     (k_(on)-rate) of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably     between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. -   Aspect T-5: Derivative according to any of aspects T-1 to T-4, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of dissociation (k_(off)     rate) between 1 s⁻¹ and 10⁻⁶ s⁻¹ preferably between 10⁻² s⁻¹ and     10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as     between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. -   Aspect T-6: Derivative of a polypeptide according to any of aspects     K-1 to K-19 or compound or construct according to any of aspects L-1     to L-23. -   Aspect T-7: Derivative according to aspect T-6, that can     specifically bind to any of IL-17A, IL-17F and/or IL-17A/F including     combinations thereof. -   Aspect T-8: Derivative according to any of aspects T-6 or T-7, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a dissociation constant (K_(D))     of 10⁻⁵ to 10⁻¹² moles/liter or less, and preferably 10⁻⁷ to 10⁻¹²     moles/liter or less and more preferably 10⁻⁸ to 10⁻¹² moles/liter. -   Aspect T-9: Derivative according to any of aspects T-6 to T-8, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of association     (k_(on)-rate) of between 10² M⁻¹s⁻¹ to about 10⁷ M⁻¹s⁻¹, preferably     between 10³ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, more preferably between 10⁴     M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹, such as between 10⁵ M⁻¹s⁻¹ and 10⁷ M⁻¹s⁻¹. -   Aspect T-10: Derivative according to any of aspects T-6 to T-9, that     can specifically bind to any of IL-17A, IL-17F and/or IL-17A/F     including combinations thereof with a rate of dissociation (k_(off)     rate) between 1 s⁻¹ and 10⁻⁶ s⁻¹ preferably between 10⁻² s⁻¹ and     10⁻⁶ s⁻¹, more preferably between 10⁻³ s⁻¹ and 10⁻⁶ s⁻¹, such as     between 10⁻⁴ s⁻¹ and 10⁻⁶ s⁻¹. -   Aspect T-11: Derivative according to any of aspects T-1 to T-10,     that has a serum half-life that is at least 1.5 times, preferably at     least 2 times, such as at least 5 times, for example at least 10     times or more than 20 times, greater than the half-life of the     corresponding amino acid sequence according to any of aspects A-1 to     A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to E-14, F-1 to F-25     or G-1 per se,

Nanobody according to any of aspects H-1 to H-22 per se, polypeptide according to any of aspects K-1 to K-19 or compound or construct according to any of aspects L-1 to L-23 per se.

-   Aspect T-12: Derivative according to any of aspects T-1 to T-11,     that has a serum half-life that is increased with more than 1 hours,     preferably more than 2 hours, more preferably more than 6 hours,     such as more than 12 hours, or even more than 24, 48 or 72 hours,     compared to the corresponding amino acid sequence according to any     of aspects A-1 to A-54, B-1 to B-8, C-1 to C-5, D-1 to D-7, E-1 to     E-14, F-1 to F-25 or G-1 per se, Nanobody according to any of     aspects H-1 to H-23 per se, polypeptide according to any of aspects     K-1 to K-19 or compound or construct according to any of aspects L-1     to L-23 per se, respectively. -   Aspect T-13: Derivative according to any of aspects T-1 to T-12,     that has a serum half-life in human of at least about 12 hours,     preferably at least 24 hours, more preferably at least 48 hours,     even more preferably at least 72 hours or more; for example, at     least 5 days (such as about 5 to 10 days), preferably at least 9     days (such as about 9 to 14 days), more preferably at least about 10     days (such as about 10 to 15 days), or at least about 11 days (such     as about 11 to 16 days), more preferably at least about 12 days     (such as about 12 to 18 days or more), or more than 14 days (such as     about 14 to 19 days). -   Aspect T-14: Derivative according to any of aspects T-1 to T-13,     that is a pegylated derivative. -   Aspect T-15: Compound or construct, that comprises or essentially     consists of one or more derivatives according to any of aspects T-1     to T-14, and optionally further comprises one or more other groups,     residues, moieties or binding units, optionally linked via one or     more linkers. -   Aspect T-16: Compound or construct according to aspect T-15, in     which said one or more other groups, residues, moieties or binding     units are amino acid sequences. -   Aspect T-17: Compound or construct according to aspect T-16, in     which said one or more linkers, if present, are one or more amino     acid sequences. -   Aspect T-18: Nucleic acid encoding a compound or construct according     to aspect T-16 or T-17. -   Aspect T-19: Composition, comprising at least one derivative to any     of aspects T-1 to T-14, compound or construct according to any of     aspects T-15 to T-17, or nucleic acid or nucleotide sequence     according to aspect T-18.     The invention will now be further illustrated by means of the     following non-limiting Examples and non-limiting Figures. The     sequences of the amino acid sequences of the invention and of the     polypeptides of the invention that are referred to in the Examples     are given in the sequence listing as well as in FIGS. 5 to 8.

LEGEND TO FIGURES

FIG. 1: Exemplary graph of the IC50 determination of Class 2 Nanobodies in AlphaScreen for blocking of the hIL-17A-hIL-17RA interaction.

FIG. 2: IL-6 secretion by HT-1080 cells stimulated with IL-17A. Representative dose-response curves of IL-6 secretion by HT-1080 cells in the presence of 0.3 μg/mL recombinant human IL-17A and various concentrations of Nanobodies or reference compound mAb02. Results are shown as mean IL-6 secretion and STD.

FIG. 3: IL-6 secretion by HT-1080 cells stimulated with IL-17F. Representative dose-response curves of IL-6 secretion by HT-1080 cells in the presence of 4.5 μg/mL recombinant human IL-17F and various concentrations of Nanobodies or reference compound mAb B-E52. Results are shown as mean IL-6 secretion and STD.

FIG. 4: IL-6 secretion by HT-1080 cells stimulated with IL-17A/F. Representative dose-response curves of IL-6 secretion by HT-1080 cells in the presence of 1.5 μg/mL recombinant human IL-17A/F and various concentrations of Nanobodies or reference compound mAb02. Results are shown as mean IL-6 secretion and STD.

FIG. 5: Amino acid sequences of Nanobodies from Class 1, Class 2, Class 3, and Class 4

FIG. 6: Amino acid sequences of some preferred, but non-limiting examples of polypeptides of the invention.

FIG. 7: Amino acid sequences of some preferred, but non-limiting examples of humanized and/or sequence-optimized amino acid sequences of the invention.

FIG. 8: Amino acid sequences of some preferred, but non-limiting examples of polypeptides of the invention that are based on humanized and/or sequence-optimized amino acid sequences of the invention.

FIG. 9: Amino acid sequences of some of the reagents and reference materials used in the Examples.

FIG. 10: Sensorgram of an epitope binning experiment, where IL17A was immobilized, 01A01 was bound and the binding of a second test Nanobody (see table on the right) was evaluated.

FIG. 11: Sensorgram of an epitope binning experiment, where IL17F was immobilized, 07B11 was bound and the binding of a second test Nanobody (see table on the right) was evaluated.

FIG. 12: Serum KC levels following subcutaneous administration of rhIL-17A (A) or rhIL-17F (B) in groups of 5 BALB/c mice previously administered intravenously with the indicated doses of the IL17MS3086 Nanobody, the reference positive controls mAb02 (A), mAb B-F60 (B), mAb03 (A,B) or negative Nanobody (ALB11) or antibody (hIgG1) controls (A,B). Results are expressed as mean±SEM per group. Statistical analyses were performed with One way ANOVA with Dunnet's post test and significant values are indicated. As used throughout this specification, “Alb11” refers to a nanobody that specifically binds to human serum albumin (HSA). ISVs comprising an Alb11 sequence have an extended biological half-life, i.e. a half life extension (HLE).

FIG. 13: Mean (with s.d. if n=3) serum concentration-time profiles of IL17MS3086 following a single i.v. bolus dose at 2 mg/kg (n=2) and 6 mg/kg (n=3) or a single s.c. dose at 6 mg/kg (n=3), respectively in the female cynomolgus monkey.

FIG. 14. Arthritis score of the study animals. 5-10 female cynomolgus monkeys per group were subcutaneously sensitized twice with bovine type II collagen in Freund's complete adjuvant and treated weekly with either IL17MS3086 (2.8 mg/kg and 10 mg/kg), mAb03 (10 mg/kg) or formulation buffer subcutaneously. An additional group (2 animals) received Tocilizumab at 10 mg/kg intravenously to serve as positive control. Arthritis of the joints was scored weekly until day 56 and are depicted as mean±SEM.

FIG. 15. Serum CRP levels in study animals. 5-10 female cynomolgus monkeys per group were subcutaneously sensitized twice with bovine type II collagen in Freund's complete adjuvant and treated weekly with either IL17MS3086 (2.8 mg/kg and 10 mg/kg), mAb03 (10 mg/kg) or formulation buffer subcutaneously. An additional group (2 animals) received Tocilizumab at 10 mg/kg intravenously to serve as positive control. Serum CRP levels were measured weekly until day 56 and are reported as mg/dL. The results are depicted as mean±SEM.

FIG. 16. Radiological evaluation of the hands and feet of study animals. 5-10 female cynomolgus monkeys per group were subcutaneously sensitized twice with bovine type II collagen in Freund's complete adjuvant and treated weekly with either IL17MS3086 (2.8 mg/kg and 10 mg/kg), mAb03 (10 mg/kg) or formulation buffer subcutaneously. An additional group (2 animals) received Tocilizumab at 10 mg/kg intravenously to serve as positive control. Joint space narrowing and atrophy (score A) (A) and bone erosion or architectural joint destruction accompanied by bone erosion (Score B) (B) was scored. The results are depicted as mean±SEM for each individual score.

FIG. 17. Histological evaluation for all study animals. 5-10 female cynomolgus monkeys per group were subcutaneously sensitized twice with bovine type II collagen in Freund's complete adjuvant and treated weekly with either IL17MS3086 (2.8 mg/kg and 10 mg/kg), mAb03 (10 mg/kg) or formulation buffer subcutaneously. An additional group (2 animals) received Tocilizumab at 10 mg/kg intravenously to serve as positive control. Following necropsy on day 57, slide specimens of the right carpal and PIP joints were prepared by sectioning paraffin-embedded tissue and staining with Hematoxylin-Eosin and safranin-O. The incidence in percent of joints with higher grades for each parameter is depicted. Higher grades was defined as scores of + and 2+.

FIG. 18. General condition score for study animals. 5-10 female cynomolgus monkeys per group were subcutaneously sensitized twice with bovine type II collagen in Freund's complete adjuvant and treated weekly with either IL17MS3086 (2.8 mg/kg and 10 mg/kg), mAb03 (10 mg/kg) or formulation buffer subcutaneously. An additional group (2 animals) received Tocilizumab at 10 mg/kg intravenously to serve as positive control. The way the animals moved and hung to the bars of their cages was evaluated and scored weekly based on the criteria described in Table 40. The results are the mean±SEM for each group.

EXAMPLES Example 1: Production and Purification of IL-17A and IL-17F Immunogens

Human IL-17A was expressed by transfection of Hek293 cells with plasmid DNA encoding the human secreted form of IL-17A (GenBank Acc. number U32659 and coding sequence in appendix) with a 6-His C-terminal extension. Briefly, cells in suspension in DMEM:F12 medium (Invitrogen) containing 4 ml/L Insulin-Transferrin-Selenium-X supplement (Invitrogen) and 1% Foetal Bovine Serum (Invitrogen) were incubated with a mixture of plasmid DNA and Poly-Ethylenelmine (PolySciences). After 90 min, transfected cells were diluted 1:1 in Freestyle medium (Invitrogen) and placed on an orbital shaker at 37° C. in a 5% CO2 incubator under agitation at 160 rpm. The supernatant was harvested after 6 days and sterile filtered through a 0.22 μm membrane cartridge (Millipore). The recombinant protein was purified on a Poros 20 MC metal chelate affinity chromatography column (Applied Biosystems) charged with Ni ions, followed by size exclusion chromatography in PBS on a HiLoad Superdex 75 prepgrade 16/60 column from GE Healthcare.

Human IL-17F (GenBank Acc. number AF384857 and coding sequence in appendix) was expressed as a 6-His C-terminal tagged protein and purified under the same conditions as described for human IL-17A.

Example 2: Immunization

Three llamas (346, 347 and 374) were immunized with recombinant human IL-17A with the aim to induce a heavy-chain antibody dependent humoral immune response. On day 0, 100 μg of antigen emulsified in Complete Freund's Adjuvant was administered via intramuscular injection in the neck. Three additional injections of respectively 50, 25 arid 25 μg of antigen emulsified in Incomplete Freund's Adjuvant were administered every 2 weeks. Peripheral blood lymphocytes (PBLs) and the lymph node (LN) biopsy were collected 4 and 8 days after the last boost.

Similarly, three llamas (292, 293 and 399) were immunized with recombinant human IL-17F, and two llamas (190b and 344) were immunized with recombinant human IL-17A/F heterodimer which was produced in E. coli and purchased from R&D Systems (Cat No 5194-IL/CF).

The humoral immune response was monitored during the immunization process by comparing the antigen specific serum titers of a sample collected prior to initiation of immunization (day 0) and a serum sample typically collected after three antigen administrations (day 35). Briefly, 96-well Maxisorp plates (Nunc, Wiesbaden, Germany) were coated with human IL-17A, IL-17F or IL-17A/F. After blocking and adding diluted serum samples, the presence of anti-IL-17 Nanobodies was demonstrated by using HRP (horseradish peroxidase) conjugated goat anti-llama immunoglobulin (Bethyl Laboratories Inc., Montgomery, Tex. USA) and a subsequent enzymatic reaction in the presence of the substrate TMB (3,3′,5,5′-tetramentylbenzidine) (Pierce, Rockford, Ill., USA).

Example 3: Library Construction

Peripheral blood mononuclear cells were prepared from the blood samples using Ficoll-Hypaque according to the manufacturer's instructions. Total RNA extracted from these cells and from lymph nodes was used as starting material for RT-PCR to amplify Nanobody encoding gene fragments. These fragments were cloned into phagemid vector pAX50. Phage was prepared according to standard protocols (Phage Display of Peptides and Proteins: A Laboratory Manual, Academic Press; 1st edition (Oct. 28, 1996) Brian K. Kay, Jill Winter, John McCafferty) and stored after filter sterilization at 4° C. until further use. In total, 8 phage libraries were constructed (346, 347, 374, 292, 293, 399, 190b and 344), with library sizes between 4.5×10⁷ and 5×10⁸, and a percentage of insert ranging from 95 to 100%.

Example 4: Selections in Search of Anti-IL-17A, IL-17F and IL-17A/F Nanobodies

To identify Nanobodies recognizing human and Cynomolgus monkey IL-17A and/or IL-17F and/or IL-17A/F, the phage libraries were incubated with soluble biotinylated IL-17 Cynomolgus monkey IL-17A and IL-17F were produced in Hek293 cells and purified as described in Example 1. Both proteins were expressed from plasmids bearing the coding sequences mentioned in the appendix with an additional 3′ end in-frame 6-His-encoding nucleotide sequence.

Cynomolgus monkey IL-17A, Cynomolgus monkey IL-17F, human IL-17A, human IL-17F and human IL-17A/F were biotinylated using Sulfo-NHS-LC-Biotin (Pierce). Complexes of biotinylated IL-17 and phage were captured from solution on streptavidin coated magnetic beads. After extensive washing with PBS/0.05% Tween20, bound phage were eluted by addition of trypsin (1 mg/ml). The phage libraries 292, 293 and 399 were incubated with soluble biotinylated human and Cynomolgus IL-17A (100, 10 and 1 nM), phage libraries 346, 347 and 374 with soluble biotinylated human and Cynomolgus IL-17F (100, 10 and 1 nM) and phage libraries 190b and 344 with soluble biotinylated human IL-17A/F, Cynomolgus IL-17A and Cynomolgus IL-17F (100 and 1 nM). Outputs of these round 1 selections were analyzed for enrichment factor (number of phage present in eluate relative to controls) and individual clones from these first round outputs were picked.

To identify human IL-17F Nanobodies that bound with high affinity, phage libraries 292, 293 and 399 were incubated with low concentrations of soluble biotinylated hIL-17A/F (1000, 100, 10, 1 and 0.1 pM). Also from these outputs individual clones were picked. To specifically identify Nanobodies recognizing human IL-17A and IL-17F and IL-17A/F, two strategies were followed. In the first strategy, outputs of phage libraries 346, 347 and 374 selected on human and Cynomolgus IL-17A (100, 10 and 1 nM), were incubated with biotinylated hIL-17F (10-1 nM) and outputs of phage libraries 292, 293 and 399 selected on human and Cynomolgus IL-17F (100, 10 and 1 nM), were incubated with biotinylated hIL-17A (10-1 nM). In the second strategy, phage libraries 346, 347 and 374 were selected on biotinylated hIL-17F (10-1 nM) and phage libraries 292, 293 and 399 on biotinylated hIL-17A (10-1 nM) in two consecutive selections rounds using the same conditions. From these round 2 selections individual clones were picked.

All individual clones were grown in 96 deep well plates (1 ml volume). Nanobody expression was induced by adding IPTG to a final concentration of 1 mM. Periplasmic extracts were prepared by freezing the cell pellets and dissolving them in 100 μl PBS. Cell debris was removed by centrifugation. As a control, selected periplasmic extracts were screened in an ELISA for binding to hIL-17A, hIL-17F or hIL-17A/F. Briefly, neutravidin (1 μg/ml) was immobilized on polysorp microtiter plates (Nunc). Free binding sites were blocked using 4% Marvel in PBS. Biotinylated hIL-17 (10 nM) was incubated in 0.1% Marvel/PBS/0.05% Tween20 with 1/10 diluted periplasmic extracts, containing Nanobody of the different clones, for 1 hour and then captured via the immobilized neutravidin. After incubation and washing, Nanobody binding was detected using anti-c-Myc, followed by HRP-conjugated anti-mouse antibody and TMB substrate.

Example 5: Screening for Blocking Nanobodies in Periplasmic Extracts by AlphaScreen Assays Using Human IL-17A, IL-17F and IL-17A/F

In order to determine the blocking capacity of the Nanobodies, periplasmic extracts were screened in protein-based competition assays using the AlphaScreen technology (PerkinElmer, Waltham, Mass. USA). AlphaScreen assays were set-up for the different combinations of IL-17A, IL-17F and IL-17A/F ligands with either IL-17RA or IL-17RC.

hIL-17A and hIL-17F produced in Hek293 cells and hIL-17A/F produced in E. coli were biotinylated using Sulfo-NHS-LC-Biotin (Pierce). Human IL-17RA-Fc (R&D Systems, and hIL-17RC-Fc chimera (produced in Hek293 cells as described in Example 1) were captured on anti-human Fc Nanobody coated Acceptor beads which were prepared according to the manufacturer's instructions (PerkinElmer). To evaluate the blocking capacity of anti-IL-17 Nanobodies, dilutions of the periplasmic extracts were pre-incubated with biotinylated hIL-17. To this mixture, IL-17R-Fc, Acceptor beads and the streptavidin-coupled Donor beads were added and further incubated for 1 hour at room temperature. Fluorescence was measured using the EnVision Multilabel Plate Reader (PerkinElmer) using an excitation wavelength of 680 nm and an emission wavelength of 520 nm. Decrease in the AlphaScreen signal indicates that the binding of biotinylated hIL-17 to the IL-17 receptor is blocked by the Nanobody present in the periplasmic extract.

Following this screening process, several Classes of Nanobodies were identified: 1) Nanobodies inhibiting the IL-17A but not the IL-17A/F interaction with both receptors, 2) Nanobodies inhibiting the IL-17A and IL-17A/F interaction with both receptors, 3) Nanobodies inhibiting the IL-17F interaction with both receptors, some of them also partially blocking IL-17A/F, and 4) Nanobodies inhibiting the IL-17A and IL-17F interactions with both receptors (called IL-17A and IL-17F cross-reactive Nanobodies) (Table 1).

TABLE 1 Nanobody classes identified during the screening procedure using AlphaScreen assays. AlphaScreen assay Nanobody IL-17A- IL-17A- IL-17F- IL-17F- IL-17A/F- IL-17A/F- Class Properties IL-17RA IL-17RC IL-17RA IL-17RC IL-17RA IL-17RC Class 1 Anti-IL-17A + + − − Class 2 Anti-IL-17A and IL- + + + + 17A/F Class 3 Anti-IL-17F type 1 + + − − Anti-IL-17F type 2 + + + − Anti-IL-17F type 3 + + − + Class 4 Cross-reactive: + + + + Anti-IL-17A, IL-17F and IL-17A/F (+ = blocking; − = non-blocking; blank = not tested)

Example 6: Surface Plasmon Resonance Analysis of Periplasmic Extracts on IL-17A, IL-17F and IL-17A/F

Off-rates of the periplasmic extracts containing anti-IL-17 Nanobodies were measured by Surface Plasmon Resonance (SPR) using a Biacore T100 instrument. Human IL-17A, IL-17F or IL-17A/F was covalently bound to a CM sensor chip surface via amine coupling using EDC/NHS for activation and HCl for deactivation. Periplasmic extracts containing IL-17 neutralizing Nanobodies were injected for 2 minutes at a flow rate of 45 μl/min to allow binding to chip-bound antigen. Next, binding buffer without periplasmic extracts was sent over the chip at the same flow rate to allow spontaneous dissociation of bound Nanobody. From the sensorgrams obtained for the different periplasmic extracts k_(off)-values (k_(d)) were calculated. Based on this Biacore analysis, a set of IL-17 Nanobodies with the best off-rates was selected and sequenced. Sequencing analysis revealed 63 different families of anti-IL-17 neutralizing Nanobodies (Table 2). FIG. 5 depicts selected sequences of Class 1 to Class 4 Nanobodies.

TABLE 2 Number of Nanobody families per anti-IL-17 Nanobody type Nanobody Number of Class Description families Class 1 Anti-IL-17A 14 Class 2 Anti-IL-17A and IL-17A/F 22 Class 3 Anti-IL-17F 18 Class 4 Cross-reactive: Anti-IL-17A, 9 IL-17F and IL-17A/F

The periplasmic extracts containing Nanobodies from Class 1, Class 2, Class 3 and Class 4 were also screened for cross-reactivity towards Cynomolgus monkey IL-17, by determining off-rates on immobilized Cynomolgus monkey IL-17A and IL-17F. All tested extracts containing Nanobodies from Class 1, Class 2 and Class 4 also showed binding to Cynomolgus monkey IL-17A and the ones from Class 3 and 4 showed binding to Cynomolgus monkey IL-17F.

Example 7: Expression and Purification of Anti-IL-17A, IL-17F and IL-17A/F Nanobodies from Various Classes

Five of the Class 1 Nanobodies, 12 of the Class 2 Nanobodies, 10 of the Class 3 Nanobodies and 9 of the Class 4 cross-reactive Nanobodies were selected for expression and purification, based on their blocking capacity in AlphaScreen assays and off-rate values. Sequences are shown in FIG. 5.

Nanobodies were expressed in E. coli TG1 cells as c-myc, His6-tagged proteins in a culture volume of 500 mL. Expression was induced by addition of 1 mM IPTG and allowed to continue for 3 h at 37° C. After spinning the cell cultures, periplasmic extracts were prepared by freeze-thawing the pellets and resuspension in dPBS. These extracts were used as starting material for immobilized metal affinity chromatography (IMAC) using Histrap FF crude columns (GE Healthcare). Nanobodies were eluted from the column with 250 mM imidazole and subsequently desalted towards dPBS. For the cell based assays described below, endotoxins were removed by gel filtration in the presence of 50 mM Octylβ-D-glucopyranoside (OGP, Sigma). Endotoxin levels were determined using a standard LAL-assay.

Example 8: Blocking Capacity of Purified Nanobodies in AlphaScreen Assays Using Human IL-17A, IL-17F and IL-17A/F

Blocking capacity of 36 purified Nanobodies belonging to 4 different Classes, as described in Example 7, was determined in AlphaScreen protein-based competition assays for all possible interactions between the human ligands IL-17A, IL-17F and IL-17-A/F and human receptors IL-17RA and IL-17RC. A dilution series of each Nanobody starting from 250 nM down to 1 pM was pre-incubated with biotinylated hIL-17 ligand during 15 minutes at room temperature (RT). The concentration of the ligand used in the different assay set-ups is listed in Table 3. To this mixture, the IL-17RA or IL-17RC Fc-fusions, Acceptor beads and the streptavidin Donor beads were added and further incubated for 1 hour at RT. A dose-dependent decrease of the fluorescence intensity at 520 nm was observed for Nanobodies that blocked a specific ligand-receptor interaction, and the IC50 value could be determined for each blocking Nanobody (Table 4). An exemplary graph illustrating the blocking capacity of a selection of anti-IL-17 Nanobodies for the IL-17A - IL-17RA interaction is shown in FIG. 1. An anti-IL-17A and IL-17A/F specific Fab fragment Fab01 was included as positive control.

TABLE 3 Overview of the concentrations of IL-17 ligand and IL-17 receptors used in the AlphaScreen assays to determine IC50 values of the Nanobodies Assay set-up Concentration Concentration Ligand - receptor combination ligand (nM) receptor (nM) IL-17A - IL-17RA 0.26 0.26 IL-17A - IL-17RC 0.64 0.64 IL-17F - IL-17RA 1.60 0.64 IL-17F - IL-17RC 0.10 0.26 IL-17A/F - IL-17RA 0.64 1.60 IL-17A/F - IL-17RC 0.10 0.26

TABLE 4 IC50 values for the various blocking anti-IL-17 Nanobodies as determined in the different AlphaScreen assays. IL-17A- IL-17A- IL-17F- IL-17F- IL-17A/F- IL-17A/F- Nano- IL-17RA IL-17RC IL-17RA IL-17RC IL-17RA IL-17RC Nano- body (IC50 in (IC50 in (IC50 in (IC50 in (IC50 in (IC50 in body Class pM) pM) pM) pM) pM) pM) 01D02 Class 1 130 363 nb nb 71660 94650 01G03 Class 1 325 1147 nb nb nb nb 02E03 Class 1 256 778 nb nb nb >250000 03B08 Class 1 80 384 nb nb nb nb 03E05 Class 1 58 380 nb nb >250000 nb 01D06 Class 2 618 1521 nb nb 401 198 02A08 Class 2 126 419 >250000 >250000 170 87 02A10 Class 2 115 381 nb nb 199 248 03C07 Class 2 84 371 nb nb 366 565 04A02 Class 2 399 837 nb nb 1960 3173 04B09 Class 2 67 252 nb nb 121 169 04B10 Class 2 68 366 nb nb 95 52 04F09 Class 2 99 468 nb nb 3978 3149 04G01 Class 2 14 217 nb nb 67 39 09D10 Class 2 211 1122 nb 69400 9020 8655 09G10 Class 2 46 323 nb nb 101 120 11A06 Class 2 81 461 nb >250000 140 39 06E11 Class 3 nb nb 799 71 nb 952 07B09 Class 3 nb nb 614 19 partial 89 07B11 Class 3 nb nb 1104 15 partial 58 08A08 Class 3 nb nb 3843 1297 nb 19660 08B07 Class 3 nb nb 761 108 >250000 nb 08H01 Class 3 nb nb 323 33 partial 259 12A09 Class 3 nb nb 1842 612 >250000 33210 16A04 Class 3 >77870 >131000 1093 52 90360 389 24B08 Class 3 nb nb 491 42 138 partial 24G10 Class 3 nb nb 476 23 partial 47 01A01 Class 4 51 211 16180 13500 102 46 10A04 Class 4 78140 >250000 746 220 37740 15640 11C08 Class 4 2119 4798 2255 488 3252 1162 13B03 Class 4 56 202 2114 848 79 31 13B05 Class 4 118 249 719 603 464 944 13E02 Class 4 67 187 395 214 71 117 13E05 Class 4 159 1091 1100 286 862 315 17C01 Class 4 66 169 296 168 264 801 18B05 Class 4 173 408 36640 13260 231 87 Fab01 N/A 787 1115 nb nb 2736 5842 nb: non-blocking; N/A: not applicable

Example 9: Blocking Activity of Purified Nanobodies in Cell-Based Assays Using IL-17A, IL-17F and IL-17A/F

The blocking capacity of the purified Nanobodies was also assessed using the HT-1080 cell-based assay, in which dose-dependent inhibition of hIL-17A, hIL-17F or hIL-17A/F induced IL-6 secretion by the HT-1080 cells is investigated. The experimental protocol was as follows: Human HT-1080 fibrosarcoma cells (ATCC reference CCL-121) were grown in Dulbecco's Minimum Essential Medium (DMEM) supplemented with 10% Fetal Bovine Serum (FBS) and 1% penicillin-streptomycin solution (P-S), referred as Complete Medium at 37° C. with 5% CO₂. For cell production and weekly passage, cells were seeded at 2×10⁴ cells/cm² into T75 culture flasks.

For in vitro stimulation assays, 3×10⁴ HT-1080 cells in 100 μL DMEM plus 2.5% FBS and 0.25% P-S were distributed to flat-bottom 96-well plates and incubated overnight. On the day of the stimulation, 80 μL of the medium was replaced. Seven serial 1:3 dilutions of Nanobodies or anti-IL-17A mAb02 reference compound were performed in PBS from a starting concentration of 100 μg/mL, and 10 μL of each Nanobody or mAb02 diluted solution were added per well of HT-1080 cells in duplicate for Nanobodies and quadruplicate for mAb02. Final concentrations of Nanobodies or reference compound mAb02 ranged between 10 μg/mL and 0.0045 μg/mL. Seven serial 1:3 dilutions of anti-IL-17F mAb reference compound mAb B-E52 (Diaclone, Besançon, France) were performed in PBS from a starting concentration of 500 μg/mL, and 10 μL of each mAb B-E52 diluted solution were added per well of HT-1080 cells. Final concentrations of reference compound mAb B-E52 ranged between 100 μg/mL and 0.045 μg/mL. Control wells for stimulus alone or vehicle alone received 10 μL PBS, in quadruplicate.

Plates were incubated for 30 min. at 37° C. with 5% CO₂ before adding specific stimuli. For stimulation with human IL-17A, 10 μL of a solution of recombinant human IL-17A at 3 μg/mL in PBS (final concentration of IL-17A: 0.3 μg/mL) were added per each corresponding well. For stimulation with human IL-17F, 10 μL of a solution of recombinant human IL-17F at 45 μg/mL in PBS (final concentration of IL-17F: 4.5 μg/mL) were added per each corresponding well. For stimulation with human IL-17A/F, 10 μL of a solution of recombinant human IL-17A/F at 15 μg/mL in PBS (final concentration of IL-17A/F: 1.5 μg/mL) were added per each corresponding well. Negative control wells for vehicle alone receive 10 μL PBS.

Plates were incubated for 24 hours at 37° C. with 5% CO2. Supernatants were harvested, transferred into 96-well plates, and stored at −80° C. Levels of human IL-6 in 1:3 or 1:4 diluted supernatants (diluent is PBS plus 1% Bovine Serum Albumin) were determined using a commercial IL-6 ELISA assay (Human Duoset IL-6 ELISA, R&D Systems, Abingdon, UK) following the manufacturer's instructions. Optical density reading (OD) at 450 nM was performed using a Fluostar OPTIMA reader (BMG Labtech, Offenburg, Germany) and IL-6 concentration for each sample extrapolated from a four-parameter logistic curve fit calculated using OD readings from the internal IL-6 standards.

For data analyses, the molar mass of Nanobody compounds was estimated at 15 kDa for each Nanobody. The molecular mass of reference mAbs was estimated at 150 kDa. IC50 and E max were calculated for each experiment from paired data compound concentration/IL-6 concentration using the XLFit software (ID Business Solutions, Guilford, UK) and a four-parameter log fit as given by the following formula: y=A+((B−A)/(1+((C/x){circumflex over ( )}D))) where A is the Minimum y, B the Maximum y, C is Log IC50, and D the Slope Factor. Mean IC50, E max and respective STD for each compound across multiple experiments was calculated using XLFit.

As shown in FIG. 2 and Table 5, the Class 1, Class 2 and Class 4 Nanobodies as well as the reference compound mAb02 inhibited IL-6 secretion in HT-1080 cells induced by IL-17A in a concentration-dependent manner.

As shown in FIG. 3 and Table 6, the Class 3 and Class 4 Nanobodies (with the exception of 17C01 and 18B05), as well as the reference compound B-E52 inhibited IL-6 secretion in HT-1080 cells induced by IL-17F in a concentration-dependent manner.

As shown in FIG. 4 and Table 7, the Class 2, Class 3 (with the exception of 08A08 and 08B07) and Class 4 Nanobodies as well as the reference compound mAb02 inhibited IL-6 secretion in HT-1080 cells induced by IL-17A/F in a concentration-dependent manner.

TABLE 5 Inhibition of IL-17A-induced IL-6 production in human fibrosarcoma HT-1080 cells by anti-IL-17 monovalent Nanobodies and reference compounds. Nanobody Stimulus IL-17A Nanobody Class IC50 (nM) Emax (%) N 02E03 Class 1 16.4 ± 9  99.3 ± 5 3 03E05 Class 1 4.0 ± 3 100.0 ± 6  2 01D02 Class 1 4.8 ± 3 101.0 ± 6  2 01G03 Class 1 68.3 ± 33 85.7 ± 5 3 03B08 Class 1 3.6 ± 3 98.5 ± 5 2 02A08 Class 2 8.8 ± 7 102.7 ± 10 3 03C07 Class 2 4.2 ± 4 101.0 ± 6  3 04B09 Class 2 3.2 ± 3 105.7 ± 6  3 04G01 Class 2 5.4 ± 7 112.7 ± 9  3 09G10 Class 2 4.0 ± 3 99.0 ± 0 2 11A06 Class 2 4.0 ± 3 98.5 ± 2 2 01D06 Class 2 42.8 ± 38 98.3 ± 5 3 02A10 Class 2 4.3 ± 4 103.7 ± 9  3 04A02 Class 2 12.6 ± 10  102 ± 7 3 04B10 Class 2 5.1 ± 4  99.7 ± 12 3 04F09 Class 2  9.7 ± 10 111.3 ± 13 3 09D10 Class 2 8.5 ± 5 93.5 ± 1 2 06E11 Class 3 NI NI 2 07B09 Class 3 NI NI 2 07B11 Class 3 NI NI 2 08H01 Class 3 NI NI 2 16A04 Class 3 NI NI 2 24B08 Class 3 NI NI 2 24G10 Class 3 NI NI 2 08A08 Class 3 NI NI 2 08B07 Class 3 NI NI 2 12A09 Class 3 NI NI 2 01A01 Class 4 2.7 ± 2 104.0 ± 10 3 11C08 Class 4 130.1 ± 64  73.0 ± 1 2 13B03 Class 4 2.9 ± 1 101.0 ± 0  2 13B05 Class 4 14.0 ± 3  104.0 ± 6  4 13E02 Class 4 3.5 ± 2 102.5 ± 2  2 13E05 Class 4 12.3 ± 1  101.0 ± 7  2 17C01 Class 4 15.1 ± 5  104.8 ± 4  4 10A04 Class 4 65.4 ± 17 31.5 ± 6 2 18B05 Class 4 20.6 ± 21 103.7 ± 3  3 mAb02 N/A 3.9 ± 4 99.1 ± 5 20 mAb B-E52 N/A NI NI 2 Results expressed as mean ± SD of N experiments. NI: no inhibition observed; N/A: not applicable

TABLE 6 Inhibition of IL-17F-induced IL-6 production in human fibrosarcoma HT-1080 cells by anti-IL-17 monovalent Nanobodies and reference compounds. Nanobody Stimulus IL-17F Nanobody Class IC50 (nM) Emax (%) N 02E03 Class 1 NI NI 3 03E05 Class 1 NI NI 2 01D02 Class 1 NI NI 2 01G03 Class 1 NI NI 3 03B08 Class 1 NI NI 2 02A08 Class 2 NI NI 2 03C07 Class 2 NI NI 2 04B09 Class 2 NI NI 2 04G01 Class 2 NI NI 2 09G10 Class 2 NI NI 2 11A06 Class 2 NI NI 2 01D06 Class 2 NI NI 2 02A10 Class 2 NI NI 2 04A02 Class 2 NI NI 2 04B10 Class 2 NI NI 2 04F09 Class 2 NI NI 2 09D10 Class 2 NI NI 2 06E11 Class 3  88.0 ± 20 70.5 ± 6  2 07B09 Class 3  75.1 ± 15 71.8 ± 12 4 07B11 Class 3  57.5 ± 23 67.0 ± 14 2 08H01 Class 3  85.5 ± 16 71.5 ± 1  2 16A04 Class 3 112.4 ± 22 100.0 ± 6  4 24B08 Class 3 141.4 ± 43 84.3 ± 9  4 24G10 Class 3  90.6 ± 17 78.8 ± 7  4 08A08 Class 3  206.0 ± 105 62.0 ± 8  2 08B07 Class 3 174.5 ± 23 77.0 ± 14 2 12A09 Class 3 105.2 ± 28 91.0 ± 10 2 01A01 Class 4 206.2 ± 87 47.2 ± 12 3 11C08 Class 4 222.6 ± 86 84.5 ± 15 2 13B03 Class 4 149.2 ± 38 85.5 ± 11 2 13B05 Class 4  249.0 ± 137 43.0 ± 8  4 13E02 Class 4 103.6 ± 15 86.5 ± 11 2 13E05 Class 4 115.0 ± 9  123.5 ± 22  2 17C01 Class 4 NI NI 4 10A04 Class 4 111.9 ± 14 102.0 ± 10  2 18B05 Class 4 NI NI 3 mAb02 N/A NI NI 2 mAb B-E52 N/A  62.4 ± 27 84.0 ± 11 20 Results expressed as mean ± SD of N experiments. NI: no inhibition observed; N/A: not applicable

TABLE 7 Inhibition of IL-17A/F-induced IL-6 production in human fibrosarcoma HT-1080 by anti-IL-17 monovalent Nanobodies and reference compounds. Nanobody Stimulus IL-17A/F Nanobody Class IC50 (nM) Emax (%) N 02E03 Class 1 NI NI 3 03E05 Class 1 NI NI 2 01D02 Class 1 NI NI 2 01G03 Class 1 NI NI 3 03B08 Class 1 NI NI 2 02A08 Class 2 26.2 ± 16 109.0 ± 1  2 03C07 Class 2 27.8 ± 17 102.0 ± 3  2 04B09 Class 2 22.7 ± 10 102.0 ± 17 2 04G01 Class 2  34.7 ± 0.5 104.5 ± 2  2 09G10 Class 2  22.2 ± 0.1 107.5 ± 25 2 11A06 Class 2 28.1 ± 8  106.5 ± 9  2 01D06 Class 2  51.1 ± 0.2  79.5 ± 23 2 02A10 Class 2 29.2 ± 16 98.5 ± 9 2 04A02 Class 2 70.4 ± 4   67.6 ± 23 2 04B10 Class 2 59.2 ± 13  97.0 ± 23 2 04F09 Class 2 45.9 ± 37 68.5 ± 6 2 09D10 Class 2 124.4 ± 131 55.0 ± 7 2 06E11 Class 3 7.2 ± 5 57.5 ± 4 4 07B09 Class 3 12.4 ± 9  70.3 ± 6 4 07B11 Class 3 15.1 ± 13 71.0 ± 1 2 08H01 Class 3 15.9 ± 14 62.5 ± 4 2 16A04 Class 3 48.2 ± 32  95.0 ± 10 4 24B08 Class 3 18.1 ± 11  50.5 ± 18 4 24G10 Class 3 28.9 ± 14  72.8 ± 14 4 08A08 Class 3 NI NI 2 08B07 Class 3 NI NI 2 12A09 Class 3 100.5 ± 108 41.5 ± 4 2 01A01 Class 4 27.8 ± 17 102.0 ± 3  2 11C08 Class 4 91.2 ± 4   89.5 ± 13 2 13B03 Class 4 26.8 ± 3  112.5 ± 13 2 13B05 Class 4 35.5 ± 15 108.5 ± 7  4 13E02 Class 4 21.7 ± 4  108.5 ± 11 2 13E05 Class 4 26.0 ± 9  159.5 ± 35 2 17C01 Class 4 41.8 ± 25 107.3 ± 12 2 10A04 Class 4 122.1 ± 19   79.5 ± 18 2 18B05 Class 4 37.1 ± 4  118.0 ± 1  3 mAb02 N/A 18.4 ± 11  91.3 ± 12 17 Results expressed as mean ± SD of N experiments. NI: no inhibition observed; ND: not done; N/A: not applicable

Example 10: SPR Analysis of Purified Nanobodies on IL-17A, IL-17F and IL-17A/F

Off-rates of the anti-IL-17 Nanobodies showing the best potencies in AlphaScreen assays and in the cellular assays were measured by SPR using a Biacore T100 instrument as described in Example 6. From the sensorgrams obtained for the different Nanobodies k_(w)-values were calculated and are indicated in Table 8.

TABLE 8 Off-rates for human IL-17 binding of the anti- IL-17 Nanobodies as determined in Biacore. koff for koff for koff for Nanobody hIL-17A hIL-17F hIL-17A/F Class Nanobody (s−1) (s−1) (s−1) Class 1 01D02  4.4E−04* NB* NB* Class 1 01G03  4.5E−04* NB* NB* Class 1 02E03  9.0E−04* NB* NB* Class 1 03B08  1.0E−04* NB* NB* Class 1 03E05  1.0E−04* NB* NB* Class 2 01D06  9.7E−04* NB*  1.3E−03* Class 2 02A08 4.2E−04 NB* 1.5E−04 Class 2 02A10 2.2E−04 NB* 2.8E−04 Class 2 03C07 2.0E−04 NB* 7.6E−04 Class 2 04A02  1.3E−03* NB*  1.1E−02* Class 2 04B09 2.7E−04 NB* 3.5E−04 Class 2 04B10 4.0E−04 NB* 5.0E−04 Class 2 04F09 6.3E−04 NB* 8.1E−03 Class 2 04G01 1.8E−04 NB* 2.3E−04 Class 2 09D10  1.5E−04* NB*  1.7E−03* Class 2 09G10 1.2E−04 NB* 1.3E−04 Class 2 11A06 1.6E−04 NB* 3.8E−05 Class 3 06E11 NB* 3.10E−04  4.4E−03 Class 3 07B09 NB* 1E−03-1E−04 1E−03-1E−04 Class 3 07B11 NB* 1.50E−04  4.7E−04 Class 3 08A08 NB* 4.8E−02 7.9E−03 Class 3 08B07 NB* 1.9E−03 2.0E−01 Class 3 08H01 NB* 8.8E−04 1.1E−03 Class 3 12A09 NB* 1.0E−02-1.0E−03 1.7E−02 Class 3 16A04 NB* 5.30E−04  3.0E−03 Class 3 24B08 NB* <1.0E−05   <1E−04 Class 3 24G10 NB* 1.6E−04  <1E−04 Class 4 01A01 8.5E−05 2.6E−02 2.7E−04 Class 4 10A04  <2E−04* 4.8E−03 1.5E−02 Class 4 11C08 7.9E−03 1.3E−02 6.3E−03 Class 4 13B03 6.3E−05 5.8E−03 3.6E−05 Class 4 13B05 3.0E−04 6.3E−02 6.8E−04 Class 4 13E02 1.3E−04 3.6E−03 7.1E−05 Class 4 13E05 1.6E−03 1.3E−02 1.9E−03 Class 4 17C01 2.9E−04 5.6E−02 7.5E−04 Class 4 18B05 2.2E−04 1.4E−01 1.2E−04 NB = no binding (off-rates marked with * are measured on periplasmic extract, the others are measured on purified protein)

Example 11: Species Cross-Reactivity of Anti-IL-17 Nanobodies

Binding of a selected panel of anti-IL-17 Nanobodies to IL-17 of other species was assessed using a binding ELISA. 96-well Maxisorp plates (Nunc, Wiesbaden, Germany) were coated with IL-17A or IL-17F from different species at 1 μg/ml in PBS. After blocking with PBS/1% casein, anti-IL-17 Nanobodies were added at a concentration of 250 nM in PBS/0.1% casein/0.05% Tween20. HRP (horseradish peroxidase) conjugated anti-myc (Serotec, MCA 2200P) was used for detection using esTMB as substrate. IL-17A from marmoset, mouse or guinea pig origin, and IL-17F from marmoset, mouse and rat origin were expressed under the same conditions as described in Example 1 for human IL-17A and F using Hek293 cells. Rat IL-17A produced in E. coli was purchased from eBioscience (San Diego, Calif., USA; Cat Nr 14-8170). Class 2 and Class 4 Nanobodies all cross-reacted with marmoset IL-17A, but not with mouse, rat or guinea pig IL-17A (Table 9). Most Nanobodies from Class 3 and Class 4 cross-reacted with marmoset IL-17F, albeit to a lesser extent. These Nanobodies did not cross-react with mouse or rat IL-17F (Table 10).

TABLE 9 OD-values for binding of the anti-IL-17 Nanobodies to IL-17A from human, marmoset, mouse, rat and guinea pig origin in ELISA Marmos Guinea Nanobody Human et IL- Mouse Rat pig IL- Class Nanobody IL-17A 17A IL-17A IL-17A 17A Class 2 02A08 1.945 1.953 −0.001 0.002 0.002 Class 2 03C07 1.704 1.699 −0.004 0.003 0.004 Class 2 04B09 1.817 1.842 0.000 0.001 0.006 Class 2 04G01 1.897 1.932 −0.001 0.004 0.008 Class 2 09G10 1.635 1.582 −0.001 0.003 0.006 Class 2 11A06 1.691 1.707 0.004 0.008 0.007 Class 3 06E11 0.073 −0.003 −0.001 0.006 0.006 Class 3 07B09 0.005 0.005 −0.001 0.003 0.009 Class 3 07B11 0.030 0.186 −0.003 0.005 0.007 Class 3 08H01 0.022 0.431 −0.002 0.006 0.007 Class 3 16A04 0.043 0.019 −0.002 0.003 0.008 Class 3 24B08 0.103 0.129 −0.002 0.004 0.012 Class 3 24G10 0.009 0.122 −0.001 0.004 0.008 Class 4 01A01 1.830 1.839 −0.003 0.004 0.008 Class 4 11C08 1.710 0.671 −0.005 0.002 0.002 Class 4 13B03 1.948 1.936 −0.001 0.004 0.004 Class 4 13B05 1.824 1.911 −0.006 0.003 0.001 Class 4 13E02 1.787 1.846 −0.001 0.003 0.006 Class 4 13E05 1.957 1.889 0.004 0.003 0.006 Class 4 17C01 1.826 1.843 −0.001 0.000 0.007

TABLE 10 OD-values for binding of the anti-IL-17 Nanobodies to IL- 17F from human, marmoset, mouse and rat origin in ELISA Nanobody Human Marmoset Mouse Rat Class Nanobody IL-17F IL-17F IL-17F IL-17F Class 2 02A08 −0.014 −0.0005 −0.0005 0.0035 Class 2 03C07 −0.016 −0.0015 0.0005 0.0015 Class 2 04B09 −0.015 0.0025 −0.0025 0.0015 Class 2 04G01 −0.016 0.0005 −0.0005 −0.0005 Class 2 09G10 −0.018 0.0045 −0.0005 0.0025 Class 2 11A06 0.673 0.0225 0.0455 0.0045 Class 3 06E11 2.593 2.123 0.0215 0.0085 Class 3 07B09 1.872 1.0855 −0.0015 0.0025 Class 3 07B11 1.849 1.6395 −0.0005 −0.0105 Class 3 08H01 1.767 0.5515 −0.0005 0.0045 Class 3 16A04 1.736 1.6365 −0.0015 0.0015 Class 3 24B08 1.815 1.7625 −0.0015 0.0035 Class 3 24G10 1.96 1.6365 −0.0005 0.0025 Class 4 01A01 0.612 0.2195 −0.0005 0.0005 Class 4 11C08 1.655 1.4045 −0.0025 0.0005 Class 4 13B03 1.656 1.3255 −0.0005 0.0085 Class 4 13B05 0.712 0.445 0.0205 0.0095 Class 4 13E02 1.099 0.248 0.0155 0.0255 Class 4 13E05 1.771 0.3375 0.0005 0.0025 Class 4 17C01 0.772 0.0525 −0.0005 0.0025

Example 12: Specificity of the Anti-IL-17 Nanobodies

Off-target binding of a selected panel of anti-IL-17 Nanobodies 02A08, 03C07, 04B9, 04G1, 09G10, 11A06 (Class 2), 06E11, 07B09, 07B11, 08H01, 16A04, 24G10 (Class 3), and 01A01, 11C08, 13B03, 13B05, 13E02, 13E05, 17C01 (Class 4) was assessed by measuring the binding capacity of the anti-IL-17 Nanobodies to human IL-17B (Peprotech Cat No 200-28), IL-17C (R&D Systems, Cat No 234-IL/CF), IL-17D (Peprotech 200-27) or IL-17E (Peprotech Cat No 200-24), by SPR using a Biacore T100 instrument. Human IL-17B, IL-17C, IL-17D or IL-17E were all expressed in E. coli, and covalently bound to a CM sensor chip surface via amine coupling using EDC/NHS for activation and HCl for deactivation. Purified Nanobodies or control mAbs (anti-hIL-17B Mab1248, anti-hIL-17E Mab1258, anti-hIL-17C Mab1234, anti-hIL-17D Mab1504, R&D Systems), were injected for 2 minutes at a flow rate of 45 μl/min to allow binding to chip-bound antigen. Next, binding buffer was sent over the chip at the same flow rate to allow spontaneous dissociation of bound Nanobody or antibody. Whereas all control antibodies bound to their respective targets, the tested Nanobodies did not bind to human IL-17B, IL-17C, IL-17D or IL-17E.

Example 13: Epitope Mapping Using Site Directed Mutagenesis A. Design of Mutant IL17A and IL17F

Human IL-17A an F being symmetrical dimers, the corresponding mutation sets were defined on a single chain of the monomer. The network of mutations was distributed at the surface of the dimer in a symmetrical way. The detailed list of mutations is as follows:

For IL-17A: K38E, K38A, D42A, N45A, N45Q, R46A, H54A, K70A, K70Q, R72A, H73A, L74A, I77A, D80A, N82K, N82A, Y85A, H86A, N88A

For IL-17F: S39E, S39A, N43A, R47A, T55A, T55H, Q71A, Q71K, R73A, N74A, L75A, I78A, Q81A, K83N, K83A, I86A, S87A, S87H, N89A

All the selected positions were mutated to an Alanine, a neutral amino acid, which is usually well tolerated at most positions in a protein structure. Other amino acids than Ala were also used at certain positions in order to introduce a more drastic change. As mentioned earlier, all these position cover half the surface of IL-17A and F.

B. Principle of the Screening Method

Single amino acid mutants of FLAG-tagged IL-17A and F were obtained by site-directed mutagenesis, transiently expressed in HEK-293 cells and tested by ELISA for binding of the Nanobodies. The binding of each Nanobody to single IL-17 mutants was compared and normalized to that of the same Nanobody to the wild type cytokine. A polyclonal specific anti-IL-17 antibody was used as positive control to check for the structural integrity of the mutant molecules.

C. Construction of Single IL-17 Mutants by Site-Directed Mutagenesis

Single amino acid mutations in IL-17A and F cytokine were introduced with mutagenic oligonucleotides using an adapted version of the Quick Change mutagenesis PCR protocol originally described by Stratagene. The main differences from the original protocol are the use of only one primer rather than 2, the sequence of the sense strand is sufficient and the use of the Pwo DNA polymerase from Roche (Cat No 03789403001) rather than the Pfu Turbo DNA polymerase from Stratagene. Both cytokines have a FLAG tag at their C-terminal and were cloned into the expression vector pTT5 (Durocher Y et al., Nucleic Acids Res. 2002, 30, E9) for expression in mammalian cells. The final constructs were confirmed by DNA sequence analysis of the full length IL-17A or IL-17F coding gene.

D. Transient Expression of Single IL-17 Mutants in Mammalian Cells

Small-scale production of the recombinant Flag-tagged IL-17A and -F mutants as well as reference parental wild type cytokines was performed in a 6-well plate format by growing HEK-293 cells in D-MEM/F-12 (1:1) medium (Invitrogen cat no 21331-020) supplemented with 10% FCS, 2 mM L-Glutamine, 100 U/ml Penicillin and 100 μg/ml Streptomycin. The TransIT-LT1 transfection reagent from Minis Bio Corporation (cat no MIR-2305) was used according to the protocol recommended by the supplier. Transfections were carried out in serum-containing media. Briefly, 2.5 μg of LPS-free miniprep plasmid DNA per well of a 6-well plate were used for transfection and the incubation time was between 48 and 72 hours.

E. ELISA Protocol for Detection of Nanobody Binding to IL-17 Mutants

Nunc-Immuno plates Maxisorp (invitrogen, Nunc #439454) were coated overnight at 4° C. with polyclonal rabbit anti-FLAG® epitope (DYKDDDDK) antibody (Covance #PRB-132P) at 2 μg/ml in PBS, pH 7.4. The plates were washed 3 times in PBST (PBS containing 0.05% Tween20) and the undiluted neat tissue culture supernatants containing the IL-17-FLAG-tagged mutants were incubated for 1 hr 30 at 37° C. The plates were washed with PBST 3 times and blocked for 2 hrs at 37° C. with PBS containing 2% BSA. The plates were washed 3 times with PBST and the different anti-IL17 HIS and cmyc-tagged monovalent nanobodies added to the wells at 5 μg/ml in PBS pH 7.4. The plates were incubated for 2 hrs at 37° C. and then washed 3 times with PBST. The secondary HRP-conjugated rabbit polyclonal to 6× His tag® (HHHHHH) antibody (Abcam #ab1187) was then added to the wells at 1/5000 dilution in PBS pH 7.4. The plates were incubated for 45 min at room temperature (RT), washed 3 times with PBST and 100 μl/well of the tetramethylbenzidine (TMB) ELISA peroxidase substrate solution (Uptima #UP664781) added. The plates were left for 5 min at RT, blocked with 1M H2SO4 and the OD read at 450 nm. In order to verify that the single IL-17 mutants and wild type cytokines were expressed, structurally well folded and well captured by anti-FLAG antibody, a polyclonal anti-IL17A or -F were used as primary antibodies followed by a HRP-conjugated secondary antibody. For IL-17A and IL-17F constructs a polyclonal Goat IgG anti-human IL-17A (Life span, #LS-C37027) and a polyclonal Goat IgG anti-human IL-17F (R&D systems, #AF1335) were used, respectively; followed by a HRP-conjugated bovine anti-goat IgG(H+L) for detection (Jackson ImmunoResearch #805-035-180).

Epitope Recognized by Class 2 Nanobodies

Five residue positions were identified that are common to all A-blockers and X-reactive Nanobody epitopes: L74, Y85, H73, N82 and R72 (Table 11). Both L74 and Y85 are crucial positions for the said epitopes, as, in all expect one case, they strongly affect Nanobody binding. Binding affinity of the selected Nanobodies to those two mutants is always below 50% of the wild type binding at least, and in most cases is below 25%. The exception is Y85 for 4B09 where binding affinity is 60% of that of the wild type protein. In light of our results, L74 can be clearly categorized as a hot spot. To a lower extent, H73 also appeared as a very important residue for all epitopes. A few positions discriminate A-blockers versus X-reactive Nanobodies. N88 was found exclusively in epitopes of X-reactive Nanobodies (except 11C08). By contrast, either H54 or K70 was found in epitopes of A-blockers, but rarely in epitopes of X-reactive Nanobodies. Among the five common residue positions between A-blocker and X-reactive epitopes on IL-17A, three have different amino acids in IL-17F (Y85I, H73N and N82K). This suggests that epitopes of X-reactive Nanobodies does not have to be strictly identical between related proteins. A certain degree of variability in the amino acid set which constitutes an epitope is tolerated. However, the two key residues (L74, Y85) have identical counterparts in IL-17F (L75, I86).

Epitope Recognized by Class 4 Nanobodies

Only the X-reactive Nanobodies 13B03 and 13E02 were tested as Fc fusions against the IL-17 mutants. Their affinity is on average 10 times less on IL-17F than on IL-17A. As for IL-17A, L75 and I86 (the equivalent residues of L74 and Y85 in IL-17A) are crucial positions in the epitopes of all Nanobodies on IL-17F. Moreover, our results indicate that I78 is also a key residue in all Nanobody epitopes on IL-17F. The later result is difficult to explain as we did not observe a similar behavior of the equivalent position (I77) in IL-17A, even for the X-reactive Nanobodies. The distinction between the average A-blocker and X-reactive epitopes observed on IL-17A was not possible on IL-17F as the corresponding experimental data set was limited (only two cross-reactive Nanobodies tested due to weak binding of monovalent forms).

All the mutants were tested for binding to both chains of the receptor complex, IL-17RA and IL-17RC. Results obtained on IL-17A indicate that R46 is strongly involved in the binding site of both receptor chains (data not shown). This data, in combination with the X-ray structure of the complex between IL-17F and IL-17RA (Ely et al., Nature Immunology 10, 1245-1251, 2009), provides some clues that the epitopes of most Nanobodies tested are likely to overlap partially with the receptor binding site on IL-17A.

From below Table 11 it becomes clear that Y85 is an important residue since it affects all 3 Nanobodies binding to IL-17A tested. N88 is critical for cross-(X)-reactive Nanobodies and not the others.

Epitope Recognized by Class 3 Nanobodies

For the anti-IL-17F specific Nanobody 4 positions on IL-17F have been identified as critical R73, I86 and N89, interestingly they correspond to the positions L74, Y85 and N88 on IL-17A which have been also shown as critical for the Nanobodies. R47 looks critical which was not seen for IL-17A (R46).

TABLE 11 Percentage binding of nanobodies to IL-17A single alanine mutants as normalised to the binding of a polyclonal anti-IL-17A Human IL-17A mutant R46 L74 H54 N78 D80 Y85 N88 class 2 90 13.6 18 100 100 12 93 class 4 92 9.6 81 100 95 29 9 class 4 89 9.2 100 100 100 11 38 Human IL-17F mutant R47 R73 I86 N89 class 3 14.2 18.3 2.8 1.7

Example 14: Epitope Binning of the Monovalent Nanobodies Versus the IL-17 Receptors

To investigate whether the selected anti-IL-17 Nanobodies bind to an overlapping epitope on IL17A, respectively IL-17F as IL-17RA respectively IL-17RC, an epitope binning experiment on Biacore was set up. The receptor (IL-17RA or IL-17RC) was captured via its human Fc-tail by an anti-human IgG-Fc antibody coated on the chip. Subsequently, a mixture of IL-17A or IL-17F complexed to a Nanobody was injected over the surface. Concentrations of IL-17A or IL-17F were used for which theoretical calculations showed complex formation for >99% of the IL-17. For none of the Class 2 or Class 4 Nanobody—IL-17A complexes, binding to IL-17RA was observed (Table 12), indicating that these Nanobodies bind to a similar epitope on IL-17A as IL-17RA. For the Class 3 Nanobodies only one Nanobody—IL-17F complex, 24B08—IL-17F, showed binding to IL17RC (Table 12), indicating that this Nanobody interacts with a different epitope on IL-17F as IL-17RC. For the Class 4 Nanobodies, only 2 Nanobody—IL-17F complexes did not bind to IL-17RC; 11C08, and 13E02. 01A01, 13B03 and 13E05—IL-17F complexes showed minor binding, whereas 13B05 and 17C01 showed significant binding, indicating that the IL-17F epitope recognized by these Nanobodies is only partly overlapping with IL-17RC.

TABLE 12 % Biacore binding of the IL-17 - Nanobody complex to immobilized IL-17RC or IL-17RA % Biacore % Biacore Nanobody binding (IL- binding (IL- Nanobody Class 17A-NB)-IL-17RA 17F-NB)-IL-17RC 02A08 Class 2 0.46 03C07 Class 2 −0.08 04B09 Class 2 −1.39 04G01 Class 2 −0.43 09G10 Class 2 2.05 11A06 Class 2 −0.35 06E11 Class 3 8.17 07B09 Class 3 5.17 07B11 Class 3 6.67 08H01 Class 3 9.17 16A04 Class 3 4.84 24B08 Class 3 59.88 24G10 Class 3 8.51 01A01 Class 4 −1.04 12.01 11C08 Class 4 3.25 6.34 13B03 Class 4 −2.24 15.68 13B05 Class 4 −0.89 35.03 13E02 Class 4 −1.04 7.17 13E05 Class 4 0.54 15.51 17C01 Class 4 −2.01 32.53

To confirm the fact that most Class 2 and Class 4 Nanobodies recognize an overlapping epitope on IL-17A, a SPR experiment was conducted whereby human IL17A was immobilized on the sensor chip, the Class 4 Nanobody 01A01 was bound and subsequentially a second test Nanobody from Class 2 or Class 4 was send over the chip. If no increase in RU levels was observed, the test Nanobody binds to an overlapping epitope than 01A01. This was the case for all tested Nanobodies, except for 11A06, again confirming that this Nanobody binds to a different epitope on IL-17A. The results are shown in FIG. 10.

Similarly, by immobilizing human IL-17F, binding of the Class 3 Nanobody 07B11, and subsequential binding of a second test Nanobody from Class 3 or Class 4, it was shown that all those Nanobodies recognize an overlapping epitope, except for 24B08, which again confirms the observations described above. The results are shown in FIG. 11.

Example 15: Generation of Multivalent Wild-Type Anti-IL-17 Nanobodies with Half-Life Extension (HLE)

In order to generate a half-life extended Nanobody product that blocks IL-17A, IL-17F and IL-17A/F, the monovalent Nanobodies were formatted. Class 2 (IL-17A and IL-17A/F-blocking, further indicated in figures with A) and Class 3 Nanobodies (IL-17F-blocking, further indicated with F) were combined into A-F or F-A combinations. The Class 4 (IL-17A-IL-17F cross-reactive Nanobodies, further indicated with X, were formatted into a bivalent construct X-X or combined with a Class 3 Nanobody F-X or X-F. For half-life extension it was opted to fuse the constructs either to the anti-HSA Nanobody ALB8 or to an Fc-portion.

Formatted Wild-Type Nanobodies with ALB8 HLE

It was opted to make on the DNA-level various A-F, F-A, X-X, F-X and X-F combinations, and to also vary the position of the ALB8 Nanobody, either between the anti-IL-17 Nanobodies linked at both sites via 9GS-linkers or at the C-terminus of the construct, wherein the two anti-IL-17 Nanobodies are linked via a 35GS-linker and ALB8 is linked to the middle Nanobody via a 9GS-linker. The monovalent Nanobodies used as building blocks are shown in Table 13.

TABLE 13 Nanobodies selected as building blocks for the formatted constructs. Only the cross-reactive Nanobodies indicated in bold were used in the F-X and F-X combinations. Class 2 (A) Class 3 (F) Class 4 (X) 02A08 06e11 01A01 03C07 07B11 11C08 04B09 08H01 13B03 04G01 16A04 13B05 09G10 24G10 13E02 11A06 13E05

A selection of 50 multivalent Nanobodies was expressed as c-myc, His6-tagged protein in Pichia pastoris (amino acid sequences are shown in FIG. 6). Induction of Nanobody expression occurred by stepwise addition of methanol. Clarified medium with secreted Nanobody was used as starting material for immobilized metal affinity chromatography (IMAC) followed by desalting resulting in 90% purity as assessed by SDS-PAGE. Where appropriate, the methods described in WO 2010/125187 were applied to further improve expression and folding.

Formatted Wild-Type Nanobodies with Fc HLE

Bivalent cross-reactive Nanobodies fused to an Fc-tail were constructed. Fc-fusions were made of the cross-reactive Nanobodies 01A01, 13E02 and 13B03. Constructs were made with a short hinge region from human IgG1 C→S (sequence: EPKSSDKTHTCPPCP) or with a long hinge region from llama IgG2b (EPKTPKPQPQPQPQPNPTTESKCPKCP). Also two types of signal peptides were used: the one from VH3-23 (hIgG HC), with the sequence MEFGLSWLFLVAKIKGVQC and the one from the mouse germline, with sequence MEWSWVFLFFLSVTTGVHS, for secretion of these Nanobodies after expression in Hek-293-6E cells. Fc-constructs were transiently transfected in Hek-293-6E cells, and expressed Nanobodies got secreted into the culture medium (75-400 ml Freestyle medium). The medium was harvested 3 days post-transfection and the Fc-fused Nanobodies were purified using Protein A chromatography (Mab Select Sure), followed by size exclusion chromatography.

Example 16: Blocking Capacity of Purified Multivalent Wild-Type Anti-IL-17 Nanobodies with ALB8 HLE in AlphaScreen Assays Using Human IL-17A, IL-17F and IL-17A/F

The 50 multivalent Nanobodies were tested in the AlphaScreen IL-17A-IL-17RA, IL-17F-IL-17RC and IL-17-A/F-RA assay, as described in Example 8, but with optimized ligand and receptor concentrations as shown in Table 14, and using a dilution series of each Nanobody starting from 50 nM down to 0.181 pM.

TABLE 14 Overview of the optimised concentrations of IL-17 ligand and IL-17 receptors used in the AlphaScreen assays to determine IC50 values of the multivalent Nanobodies Assay set-up Concentration Concentration Ligand - receptor combination ligand (nM) receptor (nM) IL-17A-IL-17RA 0.10 10 IL-17F-IL-17RC 0.05 3 IL-17A/F-IL-17RA 0.32 4

Based on potency and maximum level of inhibition, the 14 best multivalent Nanobodies were chosen for further characterization. For nine of them IC50's in all six Alphascreen assays were measured. In addition, it was investigated whether presence of HSA in the Alphascreen assay influences the IC50. To this end, the IL-17A-IL-17RA, IL-17F-IL-17RC and the IL-17A/F-IL-17RA assays were repeated in absence or presence of 5 μM HSA. For the other five Nanobodies only potencies in IL-17A-IL-17RA and IL-17F-IL-17RC assay were measured. Results are summarized in Table 15. All Nanobodies show very good potencies, albeit that the X-X formats are less potent in blocking the IL-17F-receptor interactions. The presence of HSA did not have a major influence on the potencies.

TABLE 15 Summary of IC50-values for the selected panel of 14 formatted wild-type anti-IL17 Nanobodies derived from Alphascreen, nd = not determined IC50 (pM) AlphaScreen IL17A- IL17F- IL17A/F- Nanobody IL17A- RA + IL17A- IL17F- IL17F- RC + IL17A/F- RA + IL17A/F- Specificity ID Construct RA HSA RC RA RC HSA RA HSA RC A - F IL17MS0089 02A08-35GS- 115 185 130 369 41 54 97 131 47 16A04-9GS-ALB8 F - A IL17MS0141 07B11-35GS- 87 92 146 819 29 36 99 130 68 04B09-9GS-ALB8 F - A IL17MS0166 24G10-35GS- 161 203 367 1094 46 56 128 95 51 04G01-9GS-ALB8 X - X IL17MS1003 13B03-9GS-ALB8- 116 72 171 564 189 177 85 90 45 9GS-13B03 X - X IL17MS1013 13E02-35GS- 64 67 167 408 102 113 101 86 104 13E02-9GS-ALB8 F - X IL17MS2022 16A04-9GS-ALB8- 63 83 183 456 23 28 98 90 39 9GS-13B03 F - X IL17MS2024 16A04-9GS-ALB8- 99 70 170 328 17 22 142 124 50 9GS-13E02 X - F IL17MS2042 01A01-9GS-ALB8- 130 111 152 619 30 35 122 99 59 9GS-24G10 F - X IL17MS2081 07B11-35GS- 78 86 138 543 22 27 99 100 36 01A01-9GS-ALB8 A - F IL17MS0110 04G01-35GS-16A04- 45 nd nd nd 48 nd nd nd nd 9GS-ALB8 F - A IL17MS0154 16A04-35GS-04G01- 56 nd nd nd 47 nd nd nd nd 9GS-ALB8 X - X IL17MS1005 13E02-9GS-ALB8- 56 nd nd nd 363 nd nd nd nd 9GS-13E02 X - F IL17MS2117 13B03-35GS-16A04- nd nd nd nd 30 nd nd nd nd 9GS-ALB8 X - F IL17MS2131 13E02-35GS-16A04- 44 nd nd nd 20 nd nd nd nd 9GS-ALB8

Example 17: Blocking Capacity of Purified Multivalent Cross-Reactive Anti-IL-17 Nanobodies with ALB8 HLE Versus Fc HLE in Competition ELISA Using Human IL-17A or IL-17F

The potency of the formatted Nanobodies carrying ALB8 HLE, 13E02-35GS-13E02-9GS-ALB8 and 13B03-9GS-ALB8-9GS-13B03 was compared with the potency of the same Nanobodies carrying the Fc-HLE, SH-Fc-(GS)2-13E02 and 13B03-SH-Fc 13B03-LH-Fc in a competition ELISA. To this end, IL-17RA, respectively IL-17RC was coated at a concentration of 1 μg/ml in PBS. A dilution series of the Nanobodies or reference compounds was incubated with biotinylated IL-17A (12 pM), respectively IL-17F (10 pM) and binding to the receptor was detected with extravidin-HRP. In both assays, all formatted Nanobodies show improved potency compared to their monovalent counterpart and most Nanobodies have better potencies than the reference compounds, as shown in Table 16.

TABLE 16 IC50 values for the multivalent anti-IL17 Nanobodies determined in a competition ELISA IC50 Competition IC50 Competition ELISA ELISA Test compound IL17A -RA (pM) IL17F -RC (pM) 13B03-9GS-ALB8-9GS- 20 148 13B03 13B03-SH-Fc 20 3364 13B03-LH-Fc 31 292 SH-Fc-(GS)2-13B03 44 350 13E02-35GS-13E02-9GS- 102 534 ALB8 SH-Fc-(GS)2-13E02 112 267 13B03 121 91600 13E02 420 3020 mAB02 914 B-F60 mAB 1200

Example 18: Blocking Activity of Purified Formatted Wild-Type Anti-IL-17 Nanobodies in Cell-Based Assay Using Human IL-17A, IL-17F and IL-17A/F in Presence or Absence of HSA

For 9 selected formatted Nanobodies with ALB-HLE, and 4 Fc-fused Nanobodies, the dose-dependent inhibition of hIL-17A, hIL-17F or hIL-17A/F induced IL-6 secretion by HT-1080 cells was investigated. Human HT-1080 fibrosarcoma cells were seeded at 1500 cells/well in 96-well flat bottom plates. Serial 1:3 dilutions of Nanobodies, mAB02 reference compound or anti-IL-17F B-F60 mAb reference compound were made and added to the wells with the HT-1080 cells, resulting in final concentrations ranging from 10 μg/mL to 0.0045 μg/mL for the Nanobodies and mAB02 and from 100 μg/mL to 0.045 μg/mL for mAB B-F60. In the first experiments, Nanobodies were added as such (Table 17), in a second experiment, Nanobodies were preincubated with 100 μM HSA (Table 18). Plates were incubated for 30 min. at 37° C. with 5% CO₂ before adding specific stimuli, which were either human IL-17A at 1 nM final concentration, human IL-17F at 15 nM final concentration or human IL-17A/F at 5 nM final concentration. Plates were incubated for another 24 hours at 37° C. with 5% CO2. Supernatants were harvested, transferred into 96-well plates, and levels of human IL-6 were determined using a commercial IL-6 ELISA assay. As shown in Table 17, all Nanobodies had similar potencies (IC₅₀ in the range of 0.19-0.78 nM) for blocking IL-17A activity, irrespective of the format or HLE. The potency for blocking IL-17F activity was also similar for all Nanobodies (IC₅₀ in the range of 2.7-8.2 nM). As shown in Table 18 (compared to Table 17), the presence of 100 μM HSA in the assay did not have influence on the potency of the Nanobodies.

TABLE 17 Inhibition of human IL-17A or IL-17F induced IL-6 production in human fibrosarcoma HT-1080 cells by formatted wild-type anti-IL-17 Nanobodies or reference compounds without HSA. IC50 IC50 Nanobody (nM) Emax (nM) Emax specificity or reference Construct hIL-17A (%) hIL-17F (%) A - F IL17MS0089 02A08-35GS- 0.38 ± 0.1 102 ± 1 4    87 16A04-9GS-ALB8 F - A IL17MS0141 07B11-35GS- 0.25 105 5.9 110 04B09-9GS-ALB8 F - A IL17MS0166 24G10-35GS- 0.83 105 7.35 ± 2   102 ± 3  04G01-9GS-ALB8 X - X IL17MS1003 13B03-9GS-ALB8-  0.45 ± 0.03 101 ± 1 6.4 ± 5   101 ± 4  9GS-13B03 X - X IL17MS1013 13E02-35GS-  0.47 ± 0.04 102 ± 3 6.45 ± 2   97.5 ± 1   13E02-9GS-ALB8 F - X IL17MS2022 16A04-9GS-ALB8- 0.60 ± 0.1 102 ±   8.05 ± 0.2  97 ± 5 9GS-13B03 F - X IL17MS2024 16A04-9GS-ALB8- 0.78 ± 0.1 103 ± 4 8.2 ± 0.6 96 ± 7 9GS-13E02 X - F IL17MS2042 01A01-9GS-ALB8- 0.28 101 6.6 111 9GS-24G10 F - X IL17MS2081 07B11-35GS- 0.7  100 6.3  99 01A01-9GS-ALB8 X - X MSB0010606 13E02-LH-Fc 0.19 ± 0.1 100 ± 6 2.7 ± 2.9 96 ± 4 X - X MSB0010619 SH-Fc-(GS)2-13E02 0.31 ± 0.3 102 ± 5 4.9 ± 3.5 98 ± 6 X - X MSB0010618 SH-Fc-(GS)2-13B 0.37 ± 0.3 100 ± 6 5.7 ± 3.2  94 ± 14 X - X MSB0010493 13B03-SH-Fc 0.19 ± 0   100 ± 4 5.8 ± 0.3 105 ± 15 A mAb02 0.59 ± 0.4  99 ± 2 ND ND F B-F60 mAb ND ND  3.9 ± 3.12  93 ± 10 Results are expressed as mean ± SD of N (1 to 7) experiments.

TABLE 18 Inhibition of human IL-17A, IL-17F or IL-17A/F induced IL-6 production in human fibrosarcoma HT-1080 cells by formatted wild-type anti-IL-17 Nanobodies or reference compounds in the presence of 100 μM HSA. IC50 Nanobody IC50 IC50 (nM) or (nM) Emax (nM) Emax hIL- Emax property reference Construct hIL-17A (%) hIL-17F (%) 17A/F (%) A - F IL17MS0089 02A08-35GS- 1.00 ± 0.6 97 ± 1 7.3 ± 1.3 89.5 ± 1 1.01 ± 0.1 83 ± 3 16A04-9GS-ALB8 F - A IL17MS0141 07B11-35GS- 0.85 ± 0.5 98 ± 0 14.8 ± 10.2 91.5 ± 5 0.34 ± 0.1 78 ± 3 04B09-9GS-ALB8 F - A IL17MS0166 24G10-35GS- 1.95 ± 0.6 98 ± 1 8.5 ± 3.5 85.0 ± 8 1.47 ± 0.5  72 ± 15 04G01-9GS-ALB8 X - X IL17MS1003 13B03-9GS- 1.55 ± 1.2 96 ± 1 10.8 ± 3.2  86.5 ± 6 0.53 ± 0.4 78 ± 8 ALB8-9GS-13B03 X - X IL17MS1013 13E02-35GS- 1.00 ± 0.6 97 ± 0 14.8 ± 3.6    81 ± 3 0.43 ± 0.1 78 ± 6 13E02-9GS-ALB8 F - X IL17MS2022 16A04-9GS- 0.85 ± 0.4 97 ± 0 4.1 ± 3.1 91.5 ± 1 0.61 ± 0.4 72 ± 9 ALB8-9GS-13B03 F - X IL17MS2024 16A04-9GS- 0.90 ± 0.7 96 ± 6 8.3 ± 0.5 91.5 ± 8 0.44 ± 0.0 86 ± 2 ALB8-9GS-13E02 X - F IL17MS2042 01A01-9GS- *044 *100 *5.7 *93 0.57 ± 0.1 85 ± 4 ALB8-9GS-24G10 F - X IL17MS2081 07B11-35GS- 1.05 ± 0.4 95 ± 6 5.2 ± 4.6 93.5 ± 8 0.72 ± 0.5 87 ± 8 X - X MSB0010530 13B03-LH-Fc 0.95 ± 0.8 97.5 ± 1   15.6 ± 0.07   75 ± 4 ND ND X - X MSB0010606 13E02-LH-Fc 0.85 ± 0.5 98.5 ± 2   15.3 ± 1.3  80.5 ± 2 ND ND A mAb02 0.65 ± 0.2 96 ± 3 ND ND 3.94 ± 5.4 74 ± 9 F mAb B-F60 ND ND 5.8 ± 2.6   84 ± 7 ND ND Results are expressed as mean ± SD of N experiments. N = 2 or *N = 1

Example 19: Dual Inhibition of Purified Formatted Wild-Type Anti-IL-17 Nanobodies in HT-1080 Cells Stimulated by Combinations of Human IL-17A and IL-17F

As a next step, it was investigated whether the formatted Nanobodies were able to inhibit IL-6 secretion in a dose dependent manner, when HT-1080 cells were stimulated with a combination of human IL-17A and IL-17F. IL-17A and IL-17F were combined at different concentrations: 1) 1 nM IL-17A+15 nM IL-17F, 2) 5 nM IL-17A and 5 nM IL-17F, 3) 15 nM IL-17A and 15 nM IL-17F. The tested set of Nanobodies showed a very good dual inhibitory activity (Table 19).

TABLE 19 IC50-values of some of the formatted WT anti-IL-17 Nanobodies in the HT-1080 bioassay using combinations of human IL- 17A and human IL-17F. Nanobody IC50 (nM) hIL- IC50 (nM) IL- IC50 (nM) IL- IC50 (nM) IL- or IC50 (nM) hIL- 17F 17A + IL-17F 17A + IL-17F 17A + IL-17F specificity reference Construct 17A (1 nM) (15 nM) (1 + 15 nM) (5 + 5 nM) (15 + 15 nM) A - F IL17MS0089 02A08-35G5- 0.38 ± 0.1 *4 *1.03 *3.11 *10.3 16A04-9GS-ALB8 X - X IL17MS1013 13E02-35GS-  0.47 ± 0.04 6.45 ± 2   *0.82 *1.64  *4.9 13E02-9GS-ALB8 F - X IL17MS2022 16A04-9GS-ALB8- 0.60 ± 0.1 8.05 ± 0.2 *3.23 *2.77 *10.5 9GS-13B03 F - X IL17MS2024 16A04-9GS-ALB8- 0.78 ± 0.1  8.2 ± 0.6 *3.76 *3.02 *11.2 9GS-13E02 A mAb02 0.48 ± 0.2 ND ND ND ND A + F rnAb02 + ND ND *1.03 *1.23  *5.3 mAb B-F60 F F60 ND  2.5 ± 1.6 ND ND ND Results are expressed as mean ± SD of N experiments. N = 2 or *N = 1. ND: Not Done.

TABLE 20 IC50-values of formatted anti-IL-17 Nanobodies in the HT-1080 bioassay using Cynomolgus monkey IL-17A or IL-17F. Nanobody IC50 (nM) IC50 (nM) specificity ID Construct Cyno IL17A Emax (%) Cyno IL17F Emax (%) A-F IL17MS0089 02A08-35GS- 0.52 100 ND ND 16A04-9GS-ALB8 X-X IL17MS1003 13B03-9GS- 0.86 102 3.8 ± 4.3 98 ± 16 ALB8-9GS-13B03 X-X IL17MS1013 13E02-35GS- 0.88 102 NI NI 13E02-9GS-ALB8 F-X IL17MS2022 16A04-9GS- 0.76 101 3.6 ± 0.4 93 ± 21 ALBS-9GS-13B03 F-X IL 7M52024 16A04-9GS- 1.02 100 4.5 ± 4.9 94 ± 20 ALB8-9GS-13E02 X-X MSB0010606 13E02-LH-Fc 0.19 ± 0.09 101 ± 7 NI NI X-X MSB0010619 SH-Fc-(GS)2-13E02 0.29 ± 0.09 100 ± 6 8.3 ± 6   87 ± 21 X-X MSB0010618 SH-Fc-(GS)2-13B03 0.37 ± 0.21  98 ± 4 5.0 ± 4   103 ± 16  X-X MSB0010493 13B03VHH-SH-Fc 0.21 106 3.8 111 Results are expressed as mean ± SD of N (1 to 5) experiments. NI = non inhibiting

Example 20: Blocking Activity of Purified Formatted Wild-Type Anti-IL-17 Nanobodies in Cell-Based Assays Using Cynomolgus Monkey IL-17A and IL-17F

The dose-dependent inhibition of Cynomolgus monkey IL-17A (1 nM) and IL-17F (15 nM) induced IL-6 secretion by the HT-1080 cells was investigated. As the monovalent Nanobodies all showed equal potency towards human and Cynomolgus monkey IL-17A and IL-17F, it was expected that multivalent and Fc Nanobodies would also be equally potent. This was indeed the case for the tested Nanobodies (Table 20), except for IL17MS1013 (13E02-35GS-13E02-9GS-ALB8) and MSB0010606 (13E02-LH-Fc) which showed no inhibition of Cynomolgus IL-17F.

Example 21: Binding of Formatted Wild-Type Anti-IL-17 Nanobodies, Carrying the ALB8 HLE, to Human Serum Albumin

For the fourteen formatted wild-type anti-IL-17 Nanobodies carrying the ALB8 HLE, off rates for binding to human serum albumin were determined by surface plasmon resonance, using the Biacore (Table 21). All Nanobodies show similar off-rates ranging from 5.4E-03 to 6.6E-03 s-1. This is slightly higher than the off-rate for ALB8 alone (1.65E-03 s-1), which is generally observed when ALB8 is fused to other Nanobody building blocks, thus, these off-rates are acceptable.

TABLE 21 Affinities for HSA of ALB8 HLE anti-IL-17 Nanobodies compared to the affintiy of ALB8 alone K_(off) specificity Nanobody ID Construct (s−1) A - F IL17MS0089 02A08-35GS-16A04-9GS- 6.60E−03 ALB8 A - F IL17MS0110 04G01-35GS-16A04-9GS- 6.10E−03 ALB8 F - A IL17MS0141 07B11-35GS-04B09-9GS- 5.80E−03 ALB8 F - A IL17MS0154 16A04-35GS-04G01-9GS- 5.70E−03 ALB8 F - A IL17MS0166 24G10-35GS-04G01-9GS- 5.90E−03 ALB8 X - X IL17MS1003 13B03-9GS-ALB8-9GS- 5.80E−03 13B03 X - X IL17MS1005 13E02-9GS-ALB8-9GS- 5.80E−03 13E02 X - X IL17MS1013 13E02-35GS-13E02-9GS- 6.40E−03 ALB8 F - X IL17MS2022 16A04-9GS-ALB8-9GS- 5.40E−03 13B03 F - X IL17MS2024 16A04-9GS-ALB8-9GS- 5.70E−03 13E02 X - F IL17MS2042 01A01-9GS-ALB8-9GS- 6.30E−03 24G10 F - X IL17MS2081 07B11-35GS-01A01-9GS- 6.60E−03 ALB8 X - F IL17MS2117 13B03-35GS-16A04-9GS- 6.00E−03 ALB8 X - F IL17MS2131 13E02-35GS-16A04-9GS- 6.20E−03 ALB8

Example 22: Affinity Determination of the Formatted Wild-Type Anti-IL17 Nanobodies Using the KinExA Technology

The affinity of a limited set of formatted Nanobodies was determined using the KinExA. As shown in Table 22, there is a definite avidity effect that can been measured when formatting the Nanobodies, this effect is particularly evident on IL-17F for example for the cross-reactive Nanobody 13E02 X-X formatted as 13E02-35GS-13E02-9GS-ALB8 or as an Fc-fusion, for the cross-reactive Nanobody 13B03 X-X formatted as an Fc-fusion and for both Nanobodies F-X formatted as 16A04-9GS-ALB8-9GS-13B03 and 16A04-9GS-ALB8-9GS-13E02. As expected, no avidity effect is observed for A-F constructs, but avidity is not necessary since the building blocks have already a high affinity. For the Fc-fusion constructs, the 13B03-Fc with the long hinge seems to give a higher avidity effect than 13B03-Fc with the short hinge.

TABLE 22 Affinities for human IL-17A and IL17-F binding of some of the monovalent and formatted wild-type anti-IL-17 Nanobodies and reference compounds as determined in KinExA. Nanobody conc Nanobody Kd (pM) Kd (pM) Specificity ID construct (pM) IL-17A-6HIS IL-17F-6HIS A 04G01 600 13.4 A 04B09 600 20.7 X 01A01 200 1.3 X 13B03 500 22.5 4910.0 X 13E02 500 35.9 3625.0 F 16A04 100 19.4 F 07B11 600 12.8 X-X 13B03-SH-Fc 300 0.2 132.3 X-X 13B03-LH-Fc 50 2.0 20.0 X-X 13B03-LH-Fc 10 0.5 22.3 X-X SH- (GS)2-Fc-13B03 100 144.8 X-X SH- (GS)2-Fc-13B03 10 0.1 X-X 13E02-SH-Fc 100 9.0 155.5 X-X 13E02-SH-Fc 30 3.6 X-X 13E02-LH-Fc 600 2040.0 X-X SH-(GS)2-Fc-13E02 100 11.8 X-X IL17MS1013 13E02-35GS- 300 0.3 230.0 13E02-9GS-ALB8 A-F IL17MS0089 02A08-35GS- 50 7.0 16A04-9GS-ALB8 A-F IL17MS0089 02A08-35GS- 100 17.9 16A04-9GS-ALB9 A-F IL17MS0089 02A08-35GS- 300 156.4 16A04-9GS-ALB9 F-A IL17MS0141 07B11-35GS- 50 5.0 04B09-9GS-ALB8 F-A IL17MS0141 07B11-35GS- 100 10.5 04B09-9GS-ALB8 F-X IL17MS2022 16A04-9GS-ALB8- 50 4.2 4.6 9GS-13B03 F-X IL17MS2024 16A04-9GS-ALB8- 50 4.6 1.7 9GS-13E02 A mAb02 Fab 200 362.8 A mAb02 IgG 500 112.2 A mAb02 IgG 100 255.6 F B-E52 mAB 600 643.0

Example 23: Sequence Optimization

Nanobodies IL17MS04G01 (A) (SEQ ID NO: 635), IL17MS16A04 (F) (SEQ ID NO: 648), IL17MS13E02 (X) (SEQ ID NO: 664) and IL17MS13B03 (X) (SEQ ID NO: 662) were taken further for humanization and sequence optimization. As such it is still possible to make all formats A-F/F-A, X-F/F-X and X-X. Humanization is a process in which parental wild type Nanobody® sequences are mutated to yield Nanobody® sequences that are more identical to human VH3-JH germline consensus sequences. Sequence optimization involves replacing one or more specific amino acid residues in the sequence in order to improve one or more (desired) properties of the Nanobodies. Some examples of such sequence optimization are mentioned in the further description herein and for example include, without limitation, substitutions that improve long-term stability or properties under storage, substitutions that increase expression levels in a desired host cell or host organism, and/or substitutions that remove or reduce (undesired) post-translational modification(s) (such as glycosylation or phosphorylation), again depending on the desired host cell or host organism. Specific amino acids, with the exception of the so-called hallmark residues, in the FRs that differ between the Nanobody® and the human VH3-JH germline consensus are altered to the human counterpart in such a way that the protein structure, activity and stability are kept intact. The parental wild type Nanobody® amino acid sequence is also aligned to the llama IGHV germline amino acid sequence of the Nanobody® (identified as the top hit from a BlastP analysis of the Nanobody® against the llama IGHV germlines), and in certain cases mutations towards the llama germline are introduced to increase the stability of the Nanobody, which is defined as camelisation.

For example and without limitation, when the humanization and sequence optimization of IL17MS04G01 were investigated, 8 amino acid residues in IL17MS04G01 were found which can be substituted for humanization/camelisation purposes and 1 possible amino acid residue was found which could be substituted for improving chemical stability. In the sequence optimization process of IL17MS04G01, 12 IL17MS04G01 versions (a basic variant and 11 additional variants) were constructed. The basic variant (IL17MS3010) contains 5 substitutions: A14P, A74S, E81Q, K83R and Q108L. In addition to these changes, the E1D, Q18L, T23A and A84P substitutions were introduced and investigated in additional variants. They were assembled from oligonucleotides using a PCR overlap extension method. The constructs were expressed in E. coli and purified by IMAC and desalting.

A selected number of variants were were evaluated for their hIL-17 binding capacity by surface plasmon resonance and for their neutralizing activity in Alphascreen. Also thermal stability of the variants was tested in either DSC or in a thermal shift assay using the Lightcycler (Roche). In this assay the Nanobodies variants are incubated at different pH's in the presence of sypro orange and a temperature gradient is applied. When the Nanobodies start denaturing, sypro orange binds and the measured fluorescence increases suddenly, as such a melting temperature can be determined for a certain pH. The analysis occurred in two rounds, in a first round single mutations and combined mutations upon the basic variants were evaluated, and based upon these results, two final variants were made were influence of the E1D mutation was studied. These mutation is introduced to prevent possible pyroglutamate formation. Results are summarized in Table 23 and 24.

In Tables 24, 26, 28, 30, 33 and 34:

-   -   “IC50 cell based assay hIL-17A” and “IC50 hIL17A”, respectively,         refer to the cell based assay using hIL-17A described in Example         9;     -   “IC50 cell based assay hIL-17F” and “IC50 hIL17F”, respectively,         refer to the cell based assay using hIL-17F described in Example         9;     -   “IC50 cell based assay hIL-17A/F” and “IC50 hIL17A/F”,         respectively, refer to the cell based assay using hIL-17A/F         described in Example 9.

TABLE 23 results of analysis of the first round sequence optimization variants of IL17MS04G01 average IC 50 Alpha- screen koff IL- Tm IL-17A-IL- koff hIL- 17A/F Tm at pH 7 (° C.) ID Mutation(s) 17RA (pM) 17A (s-1) (1-s) (° C.) TSA DSC IL17MS04G01 WT  93 1.80- 2.30- 73.13-75 74.5 1.16E−04 1.70E−04 IL17MS3010 A14P, A74S, 184 1.30E−04 2.17E−04 74.79 74.4 basic E81Q, K83R, Q108L IL17MS3011 basic + Q18L 139 1.32E−04 2.23E−04 77.28 IL17MS3012 basic + T23A 101 1.37E−04 2.28E−04 71.47 69.5 IL17MS3013 basic + A84P  81 1.16E−04 1.85E−04 78.11 76.3 IL17MS3015 basic + Q18L, 171 79.8 A84P IL17MS3016 basic + T23A, 177 72.7 A84P IL17MS3017 basic + Q18L, 163 1.44E−04 2.42E−04 76.45 76.1 T23A, A84P

TABLE 24 Results of analysis of the second round sequence optimization variants of IL17MS04G01 average IC50 IL- IC50 17A-IL- Alphascreen IC50 cell IC50 cell 17RA Tm at IL-17A- based assay based assay competition koff koff cyno koff IL- pH 7 Tm IL-17RA hIL-17A hIL-17A/F ELISA hIL-17A IL-17A 17A/F (° C.) (° C.) ID Mutations (pM) (pM) (pM) (pM) (s-1) (s-1) (s-1) TSA DSC IL17MS04G01 WT 93 710 7550 122 1.16E−04 3.20E−04 1.70- 73-75 74.5 2.30E−04 IL17MS3060 basic + 81 930 5500 181 1.50E−04 1.54E−04 2.09E−04 81   81.6 E1D, Q18L, A84P IL17MS3061 basic + 27 940 8150 1.46E−04 1.81E−04 1.95E−04 76.5 77.6 E1D, Q18L, T23A, A84P

In the receptor blocking assays, it was found that all variations are well tolerated without significant changes in potency (maximum 2 fold difference compared to Wild type). Also the off-rate data are in the same range as the Wild type. Q18L and A84P have a positive effect on the Tm. However T23A has a negative effect on Tm and was therefore omitted from the final variant.

From the second round analysis (Table 24), it can be concluded that the E1D mutation has no influence on Tm or potency. The Tm of IL17MS3060 is 7° C. higher than WT, Tm of IL17MS3061 is only 2.5° C. higher than WT, and therefore IL17MS3060/3015 became the final variant, it's potency in the receptor blocking assay is comparable to wild type and also in the cell based HT-1080 assay on hIL-17A and h-IL17A/F potencies are in the same range of the WT. The off-rates for IL17MS3060 on human IL-17A, human IL-17A/F and cyno IL-17A are similar to the off-rate of the WT. The % framework identity in the framework regions for IL17MS3060 is 88.8% and for IL17MS3015 89.9%, based on the AbM definition (see Antibody Engineering, Vol 2 by Kontermann & Dübel (Eds), Springer Verlag Heidelberg Berlin, 2010).

TABLE 25 Results of analysis of sequence optimization variants of IL17MS13B03 selected from a library screen, A-RA = hIL-17A-IL-17RA Alphascreen; F-RC = hIL-17F-IL-17RC Alphascreen IC50 IC50 F-RC A-RA fold fold Mutations difference difference koff Tm at (basic = A14P, A74S, compared compared koff (s-1) koff (s-1) IL-17A/F pH 7 ID K83R, Q108L) to WT to WT IL-17A IL-17F (s-1) (° C.) IL17MS13B03 WT 1.0 1   1.31E- 7.92E−03   6.21E−05- 80 2.08E−04 1.25E−04 IL17MS3044 basic + S11L 2.12E−04 7.76E−03 2.53E−04 79 IL17MS3045 basic + T40A 2.70E−04 7.94E−03 6.16E−04 83 IL17MS3046 basic + N61A 2.81E−04 8.48E−03 5.15E−04 81 IL17MS3048 basic + D82aN 2.95E−04 8.74E−03 6.65E−04   81.5 IL17MS3050 basic + D16G 2.67E−04 8.55E−03 5.75E−04 82 IL17MS3051 N29F 1.4 0.4 2.05E−04 2.16E−03 3.96E−04 75 IL17MS3052 N29S 0.9 0.5 2.89E−04 4.39E−03 5.18E−04 78 IL17MS3053 S30T 1.3  1.22 2.58E−04 9.82E−03 5.20E−04 78 IL17MS3043 basic + D16G, D79Y 2.76E−04 8.11E−03 5.85E−04 91 IL17MS3049 basic + T40A, D79Y 1.50E−04 7.57E−03 2.48E−04 91 IL17MS3047 basic + S11L, D16G, T40A, 1.1 0.7 2.52E−04 3.48E−03 5.38E−04   94.5 N61A, D79Y, D82aN

Similarly and without limitation, when the humanization and sequence optimization of IL17MS13B03 (SEQ ID NO 662) were investigated, it was found that 10 amino acid residues in IL17MS13B03 can be substituted for humanization purposes. In this case the basic variant was made, containing mutations A14P, A74S, K83R and Q108L. Then a mini-library of the basic mutant with 2⁵*3=96 permutations at positions 11, 16, 40, 61, 79 and 82aN was constructed. Two additional libraries were constructed to randomize position 29 and 30 to eliminate the deamidation site N29S30.

The libraries were transformed in TG1 and individual colonies were picked and grown in 96 well plates. Periplasmic extracts were prepared, sequenced and screened for off-rates. The mutations do not have an major influence on the off-rates. A selection of constructs was purified to check potency in Alphascreen and to determine Tm. Results are summarized in Table 25.

It was confirmed that most of the investigated mutants do not have a major influence on the potency or on the off-rates of 13B03, only the N29S and N29F mutation seem to improve the potency for human IL-17F. Since N29F causes a drop in the Tm, N29S was chosen to elaborate further.

All other mutations show a slight increase in Tm and the D79Y mutation even provokes an increase of Tm of 11° C. Second round variants were produced where all humanization mutations and the N29S mutation were included. Also the effect of the E1D mutation, to prevent the 20% pyroglutamate formation on position E1, was evaluated. In addition, a F34M mutation was included. Evaluation occurred through measuring receptor blocking potency in protein based competition assays and cell based assays, off-rate and Tm determination and is presented in Table 26. A huge increase in Tm is observed for the new variants, compared to WT. The potency of the variants for IL17A blocking is comparable with the WT, however potencies of the variants for IL-17F have improved significantly. The final variant became IL17MS3067 and IL17MS3068 (containing the E1D mutation in case the Nanobody is N-terminally located in the multivalent construct). The % framework identity in the framework regions for IL17MS3067 is 88.8% and for IL17MS3068 89.9%, based on the AbM definition.

Also, and again without limitation, when the humanization and sequence optimization of IL17MS13E02 were investigated, it was found that 8 amino acid residues in IL17MS13E02 can be substituted for humanization/camelisation purposes. In the first round sequence optimization process of IL17M13E02, 16 IL17MS13E02 versions (a basic variant and 15 additional variants) were constructed. The basic variant (IL17MS3018) contains 4 substitutions: A14P, A74S, K83R and Q108L. In addition to these changes, the L37F, K71R, G75K and I76N substitutions were introduced and investigated in additional variants. They were assembled from oligonucleotides using a PCR overlap extension method. A selection of the constructs was expressed in E. coli and purified by IMAC and desalting for further analysis.

In order to eliminate PTM sites, four libraries were constructed to randomize position M34, M78, D100c and S100D. The libraries were transformed in TG1 and individual colonies were picked and grown in 96 well plates. Periplasmic extracts were prepared, sequenced and screened for off-rates. Based on the results the following mutants were chosen for further investigation as purified protein: M34L, M34V, M78L, M78V, S100dT and S100dA. Results are summarized in Table 27.

TABLE 26 Results of analysis of second round sequence optimization variants of IL17MS13B03; A-RA = hIL-17A-IL-17RA Alphascreen; F-RC = hIL-17F-IL-17RC Alphascreen IC50 IC50 A-RA F-RC fold fold IC50 IC50 diffe- diffe- IC50 IC50 cell cell Mutations rence rence A-RA F-RC based based (basic = A14P, com- com- compe- compe- assay assay A74S, K83R, pared pared tition tition hIL17A hIL17F ID Q108L) to WT to WT ELISA ELISA (nM) (nM) IL17MS13B03 WT 1.0 1.0 131 7042 1.34 35   IL17MS3066 basic + E1D, S11L, 0.7 0.3 D16G, N29S, T40A, N61D, D79Y, D82aN IL17MS3068 basic + S11L, 1.2 0.2 D16G, N29S F34M, T40A, N61D, D79Y, D82aN IL17MS3067 basic + E1D, S11L, 1.3 0.2 333 2301 0.7  35.0 D16G, N29S, F34M, T40A, N61D, D79Y, D82aN IC50 IC50 cell cell based based assay assay koff koff cyno hIL17A koff cyno koff cyno koff Tm at Tm IL17F A/F hIL17A IL17A hIL17F IL17F hIL17A/F pH 7 DSC ID (nM) (nM) (s-1) (s-1) (s-1) (s-1) (s-1) (° C.) (° C.) IL17MS13B03 29 +/− 4.32 1.31- 1.14E−04 7.92E−03 4.69E−03 6.21E−05- 80  81 15 2.08E−04 1.25E−04 IL17MS3066 96 IL17MS3068 99 100 IL17MS3067 13 +/− 1.8  1.33E−04 1.26E−04 1.38E−03 1.66E−03 1.83E−04 99 100 5

TABLE 27 Results of analysis of sequence optimization variants of IL17MS13E02; A-RA = hIL-17A-IL-17RA Alphascreen; F-RC = hIL-17F-IL-17RC Alphascreen IC50 A-RA IC50 F-RC Mutation(s) fold fold koff koff Tm at (basic = A14P, A74S, difference difference hIL-17A hIL-17F Biacore koff pH 7 ID K83R, Q108L) vs WT vs WT (s-1) 17F (s-1) IL-17A/F (s-1) (° C.) IL17MS13E02 WT 1    1   1.14E−04 2.23E−03 3.97E−05 66    IL17MS3018 A14P, A74S, 1.13 0.8 9.26E−05 2.67E−03 1.38E−05 67    basic K83R, Q108L IL17MS3019 basic + L37F 3.72 4.6 7.45E−04 3.49E−02 3.10E−04 74.39 IL17MS3020 basic + K71R 1.24 1.3 2.84E−05 1.47E−03   <1E−0* 67.34 IL17MS3021 basic + G75K 2.75 0.9 2.16E−04 4.32E−03 6.43E−05 64.02 IL17MS3022 basic + I76N 1.17 0.9 6.41E−05 2.40E−03 9.89E−06 70.24 IL17MS3027 basic + K71R, I76N 1.23 0.6 1.30E−03 70.6  IL17MS3032 basic + K71R, G75K, I76N 1.42 0.5 8.30E−04 72.7  IL17MS3034 M34L 1.68 2.7 1.16E−04 5.96E−03 4.02E−05 63.93 IL17MS3038 M34V 3.2 2.25E−04 1.01E−02 6.82E−05 62    IL17MS3035 M78L 2     1.22 7.59E−05 4.31E−03 3.65E−05 66.47 IL17MS3039 M78V  1.25 2.10E−04 5.15E−03 4.03E−05 66.5  IL17MS3036 S100dT 2.06 2.2 1.32E−04 4.40E−03 4.31E−05 67.71 IL17MS3037 S100dA 1.61 1   1.16E−04 3.67E−03 4.67E−05 68.54

TABLE 28 Results of analysis of second round sequence optimization variants of IL17MS13E02 ; A-RA = hIL-17A- IL-17RA Alphascreen; F-RC = hIL-17F-IL-17RC Alphascreen IC50 IC50 IC50 IC50 fold fold based based IC50 Mutations diffe- diffe- assay assay cell based (basic = A14P, A74S, rence rence hIL-17A hIL-17F assay cyno ID K83R, Q108L) vs WT vs WT (nM) (nM) IL-17F (nM) IL17MS13E02 WT 1    1    1.73 44 +/− 35 +/− 22 1 IL17MS3069 basic + K71R, G75K, 0.15 I76N, M78L, S100dA IL17MS3070 basic + E1D, K71R, 0.58 0.15 0.74 18 +/− 34 +/− G75K, I76N, 10 33 M78L, S100dA IL17MS3071 basic + M34L, K71R, 0.3  G75K, I76N, M78L, S100dA IL17MS3072 basic + E1D, M34L, 0.59 0.3  0.77 27 +/− 25.2 +/− K71R, G75K, I76N, 15 23 M78L, S100dA Biacore Biacore IC50 cell koff koff koff based assay koff cyno koff cyno hIL- Tm at Tm hIL-17A/F hIL-17A IL-17A hIL-17F IL-17F 17A/F pH 7 DSC ID (nM) (s-1) (s-1) (s-1) (s-1) (s-1) (° C.) pH 8.8 IL17MS13E02 1.99 1.14E−04 1.03E−04 2.23E−03 4.60E−02 3.97E−05 66.09 70 IL17MS3069 75.62 78 IL17MS3070 1.63 6.34E−05 5.85E−05 1.12E−03 1.62E−02 7.82E−05 75.62 IL17MS3071 73.55 IL17MS3072 3.5  73.55

The L37F mutation shows a drop in potency in the IL-17A-RA and 1L-17F-RC Alphascreen and also the off-rate on IL-17F is affected. Hence, the mutation was not included in the final variant. The other humanization mutations K71R, G75K and I76N do not have a major influence on the potency or on the off-rate and were included in the final variant. Mutation of M34 to V or L decreases the potency of 13E02.

Four second round variants were made of IL17MS3032 containing M78L and S100dA. Mutations M34L and E1D were randomized. Results of the analysis of these variants are represented in Table 28. The E1 D mutation has no effect on Tm nor potency. The Tm of all variants is increased with respect to WT (about 9.5° C. or 7.5° C.). The potency of the variants improved compared to WT, with the variant IL17MS3070, not containing the M34L mutation, being the best. Therefore the M34L mutation was not included in the final variants, which became IL17MS3069 and IL17MS3070 (containing the E1D mutation in case the Nanobody is N-terminally located in the multivalent construct) The % framework identity in the framework regions for IL17MS3069 is 92.1% and for IL17MS3070 91%, based on the AbM definition.

Similarly, and again without limitation, when the humanization and sequence optimization of IL17MS16A04 were investigated, it was found that 10 amino acid residues in IL17MS16A04 can be substituted for humanization/camelisation purposes. In this case the basic variant was made, containing mutations A14P, K83R and Q108L. Then a mini-library of the basic mutant with 2⁷=128 permutations at positions 48, 61, 63, 65, 74, 82a and 84 was constructed. Two additional libraries were constructed to randomize position 55 and 56 to eliminate the isomeristation site D55S56. The libraries were transformed in TG1 and individual colonies were picked and grown in 96 well plates. Periplasmic extracts were prepared, sequenced and screened for off-rates. A drop in off-rate is observed when introducing the V61D and/or E63V mutation. These mutations will not be included in consecutive variants. For the PTM libraries it was decided to investigated further the mutations D55G, D55E and S56T. In first instance a few mutants were purified, mainly to analyze the Tm, results are summarized in Table 29.

TABLE 29 Results of analysis of sequence optimization variants of IL17MS16A04 IC50 IL- 17F-IL 17RC Mutation(s) Alphascreen (basic = fold koff koff Tm at A17P, K83R, difference hIL-17F IL-17A/F pH 7 Tm (° C.) ID Q108L) vs WT (s-1) (s-1) (° C.) DSC IL17MS16A04 WT 1.0 4.05E−04 2.40E−03 69.44 69   IL17MS3040 D55G 9.6 1.48E−03 8.78E−03 64.87 IL17MS3041 D55E 2.2 6.06E−04 4.27E−03 66.53 IL17MS3042 S56T 8.6 1.21E−03 5.00E−03 70.68 IL17MS3055 basic + D65G, 4.93E−04 3.32E−03 68.6  S82aN IL17MS3054 basic + G74S, 4.59E−04 3.08E−03 72.34 75.5 A84P IL17MS3056 basic +I48V, 5.14E−04 2.88E−03 63.62 G74S

Without limitation to a specific mechanism, hypothesis or explanation, based on the data it was assumed that D55E is the best mutation with respect to affinity, but gives a small drop in Tm. D55E is a conservative mutation, which was pursued further. D55G is potency wise not a good candidate and gives a large drop in Tm and was dropped. S56T is the best mutation with respect to the Tm, but is potency wise less good.

Also, and again without limitation to a specific mechanism, hypothesis or explanation, based on the data it was noted that IL17MS3056 gives a drop in Tm, which is not seen in IL17MS3054 (which has the G74S mutation in common with IL17MS3056). Since the A84P mutation usually increases stability, the drop in Tm is probably caused by I48V. This was further examined. In a second round, five variants with fixed mutations (basic+D65G, G74S, S82aN and A84P) and randomized mutations (E1D, I48V, D55E, S56T) were made and analyzed, of which the results are presented in Table 30.

Analysis of the second round variants confirmed that the I48V mutation caused a drop in the Tm, and also negatively influences the potency. Hence this mutation was omitted from the final variant. The E1D mutation does not influence potency or Tm. Although the potency of all variants decreased compared to WT, IL17MS3063 was considered to be give the best results with respect to potency in a monovalent format. This is not observed in the cell based assays, but this assay is less sensitive than the Alphascreen. The Tm of IL17MS3063 is slightly higher than of the WT. Thus IL17MS3063 (when N-terminally), or a building block based thereon without the E1D mutation (when not N-terminally in the multivalent construct), were selected as the preferred amino acid sequences of the invention for further investigation. The % identity in the framework regions for IL17MS3063 is 86.5% and for IL17MS3063 without the E1D mutation 87.6%, based on the AbM definition.

TABLE 30 Results of analysis of second round sequence optimization variants of IL17MS16A04 IC50 IL-17F- IL-17RC IC50 IC50 cell Alphascreen cell based based assay IC50 cell koff Mutations fold assay cyno based assay koff cyno koff Tm at Tm (basic = A14P, A74S, difference hIL-17F IL-17F hIL-17A/F IL-F IL-17F IL-17A/F pH 7 (° C.) ID K83R, Q108L) vs WT (nM) (nM) (nM) (s-1) (s-1) (s-1) (° C.) DSC IL17MS16A04 WT 1.0 28 +/− 31 7.30 +/− 0.1 8.0 3.82- 6.36E−04 2.39- 69.4 69.0 4.10E−04 2.50E−03 IL17MS3059 Basic + E1D, I48V, 6.7 66.9 D55E, D65G, G74S, S82aN, A84P IL17MS3062 Basic + I48V, D55E, 7.4 67.7 D65G, G74S, S82aN, A84P IL17MS3063 Basic + E1D, D55E, 3.7 14 +/− 13 34.2 +/− 34  1.6 6.55E−04 1.11E−03 2.65E−02 71.0 74.5 D65G, G74S, S82aN, A84P IL17MS3064 Basic + E1D, I48V, 30.3  68.9 S56T, D65G, G74S, S82aN, A84P IL17MS3065 Basic + E1D, S56T, 12.7  D65G, G74S, S82aN, A84P

Example 24: Generation and Expression Level Analysis of the Multivalent Sequence Optimized Anti-IL-17 Nanobodies with ALB11 HLE

The preferred sequence optimized variants were reformatted in all possible combinations: A-F/F-A, X-F/F-X and X-X, with the ALB-HLE in the middle connected with two 9GS-linkers. As back-up also two A-only formats were generated (see Table 31). The constructs were produced in Pichia pastoris as tagless proteins and purified via MEP hypercel or Protein A affinity chromatography, followed by desalting. A copy number screen was performed and expression yields estimated from the clones with the highest copy number (see Table 31).

TABLE 31 Results of expression level analysis of purified multivalent sequence optimised anti-IL-17 Nanobodies with ALB11 HLE estimated yield in Nanobody ID Construct fermentor (g/L) IL17MS3076 IL17MS3070-9GS-ALB11-9GS- 1.5 IL17MS3068 IL17MS3077 IL17MS3067-9GS-ALB11-9GS- 1.5 IL17MS3069 IL17MS3078 IL17MS3070-9GS-ALB11-9GS- >1.5 IL17MS3069 IL17MS3079 IL17MS3067-9GS-ALB11-9GS- 1 IL17MS3068 IL17MS3080 IL17MS3060-9GS-ALB11 0.5 IL17MS3081 ALB11(with E1D)-9GS-IL17MS3015 <<0.5 IL17MS3082 IL17MS3060-9GS-ALB11-9GS- <0.5 IL17MS3063 (without E1D) IL17MS3083 IL17MS3063-9GS-ALB11-9GS- <0.5 IL17MS3015 IL17MS3084 IL17MS3063-9GS-ALB11-9GS- 1.5 IL17MS3068 IL17MS3085 IL17MS3067-9GS-ALB11-9GS- 1 IL17MS3063 (without E1D) IL17MS3086 IL17MS3063-9GS-ALB11-9GS- 1.5 IL17MS3069 IL17MS3087 IL17MS3070-9GS-ALB11-9GS- 1 IL17MS3063 (without E1D)

Example 25: Analysis of the Blocking Capacity of the Multivalent Sequence Optimized Anti-IL-17 Nanobodies with ALB11 HLE in a Competition ELISA Using Human IL-17A or IL-17F

Potencies were checked in the IL-17A-IL-17RA and IL-17F-IL-17RC competition ELISA, as described in Example 17. IC50 values are presented in Table 32.

TABLE 32 Results of blocking capacity of the purified multivalent sequence optimised anti-IL17 Nanobodies with ALB11 HLE in competition ELISA; IC50 IC50 comp comp ELISA ELISA parental parental IL-17A- IL-17F- N-terminal Middle C-terminal IL-17RA IL-17RC Specificity Nanobody ID Nanobody Nanobody Nanobody (pM) (pM) X-X IL17MS3076 13E02 ALB11 13B03 64 149 X-X IL17MS3077 13B03 ALB11 13E02 62 153 X-X IL17MS3078 13E02 ALB11 13E02 58 143 X-X IL17MS3079 13B03 ALB11 13803 56 184 A IL17MS3080 04G01 ALB11 140 NI A IL17MS3081 ALB11 04G01 nd nd A-F IL17MS3082 04G01 ALB11 16A04 43 100 F-A IL17MS3083 16A04 ALB11 04G01 141  99 F-X IL17MS3084 16A04 ALB11 13B03  29  16 X-F IL17MS3085 13B03 ALB11 16A04  40  20 F-X IL17MS3086 16A04 ALB11 13E02  54  13 X-F IL17MS3087 13E02 ALB11 16A04  88  23 X mAB03  50  17 A mAB02 3309 NI NI = non-inhibiting, nd = not determined

Example 26: Blocking Activity of Purified Multivalent Sequence Optimized Anti-IL-17 Nanobodies with ALB11 HLE in Cell-Based Assay Using Human IL-17A, IL-17F and IL-17A/F in Presence or Absence of HSA

The dose-dependent inhibition of hIL-17A, hIL-17F, hIL-17A/F, cIL-17A, and cIL-17F induced IL-6 secretion by HT-1080 cells was investigated for 5 purified multivalent sequence optimized anti-IL-17 Nanobodies with ALB11 HLE in the HT-1080 bioassay as in Examples 18 and 20.

Results show that the 5 purified multivalent sequence optimized anti-IL-17 Nanobodies tested inhibit hIL-17A, hIL-17F, hIL-17A/F, cIL-17A, and cIL-17F with similar, sub-nanomolar to single-digit nanomolar potencies (Table 33). Potencies and efficacies are similar or better than those observed with the anti-IL-17A and anti-IL-17A/F mAb reference compounds. Furthermore, addition of 100 μM HSA to cultures had no significant impact on the potency of the purified multivalent sequence optimized anti-IL-17 Nanobodies (Table 34 compared to Table 33).

TABLE 33 IC50-values of formatted sequence optimized anti-IL-17 Nanobodies in the HT-1080 bioassay in absence of HSA. Cellular assay HT-1080 (1500 cells) IC50 IC50 IC50 IC50 IC50 Cyno Cyno Nanobody or hIL17A¹⁾ Emax hIL17F²⁾ Emax hIL17A/F³⁾ Emax IL17A⁴⁾ Emax IL17F⁵⁾ Emax control Construct (nM) (%) (nM) (%) (nM) (%) (nM) (%) (nM) (%) IL17MS3079 IL17MS3067-9GS- 0.35 ± 95 ± 2 5.4 ± 3    82 ± −3 0.59 ± 0.25 83 ± 26 0.35 ± 97 ± 1 4.5 ± 4 88 ± 20 ALB11-9GA- 0.08 0.04 IL17MS3068 IL17MS3084 IL17MS3063-9GS- 0.44 ± 94 ± 1 5.5 ± 3   85 ± 6 1.66 ± 1.2  82 ± 23 0.37 ± 97 ± 2 5.0 ± 2 89 ± 16 ALB11-9GS- 0.03 0.06 IL17MS3068 IL17MS3085 IL17MS3067-9GS- 0.54 ± 94 ± 1 5.8 ± 3   87 ± 4 0.98 ± 0.5  83 ± 21 0.44 ± 95 ± 5 6.7 ± 1 90 ± 11 ALB11-9GS- 0.16 0.04 IL17MS3063 (without E1D) IL17MS3086 IL17MS3063-9GS- 0.50 ± 95 ± 1 3.4 ± 1   84 ± 7 1.85 ± 0.7  87 ± 0.35 ± 96 ± 1 3.6 ± 3 94 ± 11 ALB11-9GS- 0.13 −23 0.08 IL17MS3069 IL17MS3087 IL17MS3070-9GS- 0.44 ± 94 ± 2 5.8 ± 1   84 ± 5 1.04 ± 0.2  87 ± 24 0.39 ± 97 ± 5 6.7 ± 2 95 ± 5  ALB11-9GS- 0.01 0.04 IL17MS3063 (without E1D) mAb03 mAb 0.89* 94 7.1 ± 0.5  88 ± −9 1.93* 102 2.8 ± 1.6 93 ± 1 6.3 ± 1 96 ± 18 mAb02 mAb 0.74* 90 0.95*  60 final ligand concentration 1 nM; ²⁾final ligand concentration 15 nM; ³⁾final ligand concentration 5 nM; ⁴⁾final ligand concentration 15 nM; ⁵⁾final ligand concentration 1 nM; Results are expressed as mean ± SD of N experiments. N = 2 or *N = 1.

TABLE 34 IC50-values of formatted sequence optimized anti-IL-17 Nanobodies in the HT-1080 bioassay in presence of HSA. Cellular assay HT-1080 (1500 cells) IC50 IC50 IC50 IC50 IC50 Cyno Cyno Nanobody or hIL17A Emax hIL17F Emax hIL17A/F Emax IL17A Emax IL17F Emax control Construct (nM) (%) (nM) (%) (nM) (%) (nM) (%) (nM) (%) IL17MS3079 IL17MS3067-9GS- 0.50 ± 91 ± 1 8.5 ± 1 87 ± 2 1.32 ± 0.3 95 ± 11 0.40* 100 4.0* 89 ALB11-9GA- 0.03 IL17MS3068 IL17MS3084 IL17MS3063-9GS- 0.55 ± 93 ± 0 5.6 ± 5 89 ± 3 1.14 ± 0.9 96 ± 18 0.30*  98 1.1* 97 ALB11-9GS- 0.16 IL17MS3068 IL17MS3085 IL17MS3067-9GS- 0.73 ± 92 ± 2 6.6 ± 6 89 ± 4 1.58 ± 1.4 90 ± 9  0.33*  98 8.0* 80 ALB11-9GS- 0.21 IL17MS3063 (without E1D) IL17MS3086 IL17MS3063-9GS- 0.70 ± 93 ± 0 6.0 ± 4 91 ± 4 2.52 ± 94 ± 15 0.33*  98 1.2* 97 ALB11-9GS- 0.20 0.09 IL17MS3069 IL17MS3087 IL17MS3070-9GS- 0.57 ± 91 ± 4 6.3 ± 4 83 ± 9 1.54 ± 1.3 88 ± 16 0.35*  94 7.0* 70 ALB11-9GS- 0.16 IL17MS3063 (without E1D) mAb03 mAb 0.89* 90 8.3 ± 1 90 ± 6 1.67* 104 2.68*  90 1.9* 96 mAb02 mAb 1.42* 88 9.21*  72 Results are expressed as mean ± SD of N experiments. N = 2 or *N = 1.

Example 27: Binding of Formatted Sequence Optimized Anti-IL-17 Nanobodies, Carrying the ALB11 HLE, to Human Serum Albumin

For the 5 selected formatted sequence optimized anti-IL-17 Nanobodies carrying the ALB11 HLE, off-rates for binding to human serum albumin were determined by surface plasmon resonance, using the Biacore (Table 35). All Nanobodies show similar off-rates ranging from 5.1E-03 to 4.4E-03 s-1, comparable to the wild-type formatted anti-IL-17 Nanobodies

TABLE 35 Affinities for HSA of ALB11 HLE anti-IL-17 formatted sequence optimized Nanobodies specificity Nanobody ID koff (s−1) X-X IL17MS3079 4.40E−03 F-X IL17MS3084 4.60E−03 X-F IL17MS3085 4.60E−03 F-X IL17MS3086 5.00E−03 X-F IL17MS3087 5.10E−03

Example 28: Blocking Activity of Purified Multivalent Sequence Optimized Anti-IL-17 Nanobodies Carrying the ALB11 HLE In Vivo in Mice Administered with Recombinant Human IL-17A and IL-17F

Although the monovalent and multivalent anti-IL-17 Nanobodies described herein do not recognize mouse IL-17A nor IL-17F, mouse cells are responsive to human recombinant IL-17A and IL-17F (see WO2007/070750, Example 7). Furthermore, recombinant IL-17A or IL-17F administered to normal mice induce a secretion of the chemokine CXCL8 (aka KC for keratinocyte-derived Chemokine) which can be measured in serum at selected time points. The ability of the formatted sequence optimized anti-IL-17 Nanobody carrying the ALB11 HLE Nanobody IL17MS3086 to block in vivo induction of serum KC after injection of recombinant human IL-17A (rhIL-17A) or recombinant human IL-17F (rhIL-17F) was investigated in mice. Each group of five mice received a subcutaneously (s.c) injection of 100 μl PBS, either alone (sham group PBS) or containing 10 μg/mouse of recombinant human IL-17A or IL-17F. Four hours before IL-17 injection, mice were treated intravenously (i.v.) with isotype control antibody, control Nanobody (ALB11) or with anti-human IL-17 Nanobody IL17MS3086 (100 μg, 28.5 μg, 8.1 μg, or 2.3 μg/mouse). The anti-IL-17A monoclonal antibody mAb02, the anti-IL-17F monoclonal antibody mAb B-F60, and dual specific anti-IL17A/F monoclonal antibody mAb03 were used as reference controls. Equimolar doses of antibodies versus Nanobody were used for better comparison (350 μg, 100 μg, 28.5 μg or 8.1 μg antibodies). At two hours after rhIL-17A administration and four hours after rhIL-17F administration, blood was collected and mice sacrificed. The serum was collected and analyzed for KC levels by ELISA.

Both rhIL-17A and rhIL-17F induced and increase in KC levels, although this was more pronounced with rhIL-17A (FIG. 12). The IL17MS3086 Nanobody blocked the ability of rhIL-17A and rhIL-17F to induce KC in mouse serum. Blocking was clearly dose-dependent for rhIL-17A (FIG. 12). At all doses tested, the IL17MS3086 Nanobody blocked the ability of rhIL-17F to induce KC in mouse serum better than the equivalent dose of mAb03 or mAb B-F60. Additionally, the inhibition by the Nanobody was better at equivalent doses to what seen with mAb03 or mAb02 for rhIL-17A, as for example a dose of 8.1 μg of IL17MS3086 significantly neutralized rhIL-17A-induced KC in serum while the same dose of mAb02 or mAb03 (FIG. 12) did not.

Example 29: Affinity Determination of a Formatted Sequence Optimized Anti-IL17 Nanobody with ALB11 HLE Using the KinExA Technology

The relative affinity of IL17MS3091 (SEQ ID NO: 838; FIG. 8)—a Myc-HIS tagged variant of the formatted sequence optimized with ALB11 HLE anti-IL-17 Nanobody IL17MS3086—for human and cynomolgus monkey IL-17A and IL-17F was assessed using the KinExA® (Kinetic Exclusion Assay) method for measuring the equilibrium dissociation constant (Kd) in solution. Values of the kinetic binding constants Kon and Koff were not determined.

Range and average Kd values observed with IL17MS3091 (see Table 36) suggest that the parent formatted sequence optimized anti-IL-17 Nanobody IL17MS3086 binds in solution with very strong affinity (single digit pM to sub-pM) to IL-17A and IL-17F, with a slightly better affinity for IL-17A. In addition, there were no significant differences between the Kd observed for human and cynomolgus recombinant cytokines,

TABLE 36 Range and average Kd values observed with IL17MS3091 by KinExA Kd - (picoM) Range Cytokine Low-High Average human IL-17A 0.094-1.02 0.4 cynomolgus IL-17A 0.476-3.14 1.37 human IL-17F 0.146-3.16 1.14 cynomolgus IL-17F 0.360-11.2 2.82

In comparison, the binding affinity as determined by Biacore of mAb03 for hIL-17A was 15 pM, and for hIL-17F was 10 pM. Hence, a polypeptide with a combination of a Class 3 ISV with a Class 4 ISV results in superior binding affinities compared to conventional antibodies.

Example 30: Species Cross-Reactivity of a Formatted Sequence Optimized Anti-IL17 Nanobody with ALB11 HLE

Binding to IL17A and IL17F of other species was assessed for IL17MS3091, a tagged version of IL17MS3086, using a binding ELISA as described in Example 11. IL17MS3091 shows binding to marmoset and cynomolgus IL17A and IL17F. No signals are detected for binding to IL17A from mouse, rat and guinea pig origin nor for binding to IL17F from mouse and rat origin (Table 37 and 38).

TABLE 37 OD values obtained for binding of IL17MS3091 to IL17A of different species in a binding ELISA, signals of positive and negative controls are presented as well. Human cyno marmo- mouse rat guinea pig Samples IL17A IL17A set IL17A IL17A IL17A IL17A Negative control 0.018 0.011 0.013   0.015 0.010 0.011 Positive controls 3.979 4.085 4.122   3.628 3.641 —* IL17MS3091 1.523 2.225 2.517 −0.005 0.000 0.103 *no control available for guinea pig IL17A

TABLE 38 OD values obtained for binding of IL17MS3091 to IL17F of different species in a binding ELISA. Human cyno marmoset mouse rat Samples IL17F IL17F IL17F IL17F IL17F Negative control 0.017 0.021 0.020 0.046 0.037 Positive control 3.564 3.981 3.550 3.549 3.571 IL17MS3091 0.741 1.314 0.573 −0.034 −0.027

Example 31: Specificity of a Formatted Sequence Optimized Anti-IL17 Nanobody with ALB11 HLE

Off-target binding of IL17MS3086 was assessed by measuring the binding capacity of this Nanobody to human IL-17B, IL-17C, IL-17D or IL-17E by SPR as described in Example 12.

Whereas all control antibodies bound to their respective targets, IL17MS3086 did not bind to human IL-17B, IL-17C, IL-17D or 1L-17E.

Example 32: Pharmacokinetic Profile of IL17MS3086 in Female Cynomolgus Monkeys

The pharmacokinetic profile of IL17MS3086 was determined in female cynomolgus monkey following a single intravenous (i.v.) bolus dose (2 and 6 mg/kg) and after a single subcutaneous (s.c.) dose (6 mg/kg). IL17MS3086 was dosed to three healthy treatment naïve female cynomolgus monkeys per route and per dose level.

For the pharmacokinetic data analysis, descriptive statistics were calculated per route, per dose group and per sampling time point.

Individual plasma concentration-time profiles were subjected to non-compartmental analysis (NCA) using WinNonlin Pro 5.1 (Pharsight Corporation, USA; 2006). The area under the curve (AUC) was estimated using the lin up/log down rule. LLOQ values were treated as missing, except when comprised between two values above the LLOQ (lower limit of quantification), then they were set to zero.

The following main pharmacokinetic parameters were estimated: the plasma concentration at time zero (C0) after i.v. administration or maximum plasma concentration (C_(max)) after s.c. administration; the area under the plasma concentration-time curve extrapolated to infinity (AUC_(inf)), (apparent) total body clearance (CL for i.v. data, CL/F in case of s.c. data), volume of distribution at steady-state (Vd_(ss)) in case of i.v. data only, the terminal half-life (t_(1/2)) and the absolute s.c. bioavailability (F).

In case of i.v. data, the concentration at time zero (C₀) was estimated through back-calculation based on the two first data points. The terminal elimination half-life (t½) was calculated automatically (best-fit) using a log-linear regression of the non-zero concentration-time data of the log-linear portion of the terminal phase. A minimum of three points were considered for the determination of λz.

In one animal, i.e. No 6317 (i.v., 2 mg/kg) positive ADA titers, as evaluated with a homogeneous electrochemiluminescent bridging MSD assay, correlated with a slope change in the pharmacokinetic profile (from 21 d post-dose onwards). This animal was therefore removed from subsequent PK data analysis.

In FIG. 13, the mean serum concentration-time profiles of IL17MS3086 following a single i.v. bolus dose at 2 and 6 mg/kg or a single s.c. dose at 6 mg/kg, respectively in the female cynomolgus monkey are depicted.

Table 39 lists the main pharmacokinetic parameters and corresponding descriptive statistics, of IL17MS3086 following a single i.v. bolus dose at 2 and 6 mg/kg or a single s.c. dose at 6 mg/kg, respectively in the female cynomolgus monkey.

TABLE 39 Main pharmacokinetic parameters (n = 2 or 3) of IL17MS3086 following single i.v. bolus dose with 2 and 6 mg/kg (upper panel) or a single s.c. dose with 6 mg/kg (lower panel), respectively in the female cynomolgus monkey. Single intravenous (i.v.) administration C₀ AUC_(inf) CL Vd_(ss) t_(1/2) Dose level (μg/ml) (day*μg/ml (ml/day/kg) (ml/kg) (day) 2 mg/kg N  2     2    2    2   2    Mean 46.8 218   9.17 81.0 6.05 SD NC NC NC NC NC Min 46.2 216   9.10 78.5 5.39 Median 46.8 218   9.17 81.0 6.05 Max 47.4 220   9.24 83.4 6.71 CV % NC NC NC NC NC 6 mg/kg N  3     3   3    3  3    Mean 181    866   6.99 64.4 6.86 SD 17.5 102    0.774   9.02 1.15 Min 168    796   6.11 58.9 5.72 Median 174    818   7.34 59.6 6.86 Max 201    983   7.53 74.8 8.01 CV %   9.67  11.8 11.1   14.0 16.7 NC, not calculated

TABLE 39 lower panel Single subcutaneous (i.v.) administration C_(max) T_(max) AUC_(inf) CL/F t_(1/2) Dose level (μg/ml) (day) (day*μ2/ml (ml/day/k (day) 6 mg/kg N  3   3       3   3     3     Mean 62.7 1.1   667   9.07  6.79  SD 10.3 0.858  76.2 0.973 0.246 Min 52.6 0.292 623   7.95  6.61  Median 62.3 1     623   9.63  6.71  Max 73.2 2     755   9.64  7.07  CV % 16.4 78.2     11.4 10.7  3.62 

Following i.v. bolus administration, the pharmacokinetic profile of IL17MS3086 displayed a bi-exponential decline. During the first day after i.v. dosing a distribution phase was apparent. Thereafter IL17MS3086 serum concentrations declined in a mono-exponential fashion. The available data did not suggest target mediated disposition in these healthy monkeys.

After i.v. administration, the exposure to IL17MS3086 (AUC_(inf)) increased with increasing dose. The increase in exposure was slightly greater than dose proportional over the 2-6 mg/kg dose range (AUC×3.96 vs dose×3) leading to CL values of 9.17 and 6.99 ml/kg/day at 2 and 6 mg/kg i.v., respectively. Corresponding values of Vd_(ss) were 81.0 and 64.4 ml/kg, respectively suggesting distribution to the tissues. The t_(1/2) was ca 6-7 d, in line with the serum half-life of cynomolgus albumin.

After s.c. administration, C_(max) occurred at 1 d post-dose. No evidence of absorption controlled kinetics (t_(1/2) ca 6.8 versus 6-6.8 d) was apparent after s.c. administration. The absolute s.c. bioavailability was estimated at 77%.

Example 33: In Vivo Efficacy of an Anti-IL-17 A/F Nanobody in a Collagen-Induced Cynomolgus Monkey Model

A collagen-induced arthritis (CIA) cynomolgus monkey model was used to assess the in vivo efficacy of IL17MS3086. In brief, 3-6 year old female cynomolgus monkeys of Chinese origin were anesthetized by an intramuscular injection of ketamine hydrochloride (Kamud Drugs Pvt., Ltd 50 mg/ml) and were subsequently sensitized with bovine type II collagen in Freund's complete adjuvant subcutaneously over 19 sites on the back and at one site at the base of the tail. The sensitization procedure was repeated on day 21 of the study. On the same day as the first sensitization and once a week henceforth, the animals were dosed with either 10 mg/kg or 2.8 mg/kg IL17MS3086 (9-10 animals/group) subcutaneously. These two selected doses corresponded to either an equivalent dose (10 mg/kg) or an equimolar dose (2.8 mg/kg) to a dual specific anti-IL17A/F monoclonal antibody mAb03 that was used as reference control and also administered subcutaneously at 10 mg/kg. Additionally, both a negative control group (9 animals until day 28 and 8 animals thereafter) and a positive control group (2 animals) were included. The negative control animals were dosed subcutaneously with formulation buffer whereas the positive control group animals were dosed intravenously with 10 mg/kg of Tocilizumab (RoActemra®), an anti-IL-6R monoclonal antibody, following the same schedule. Tocilizumab was previously shown to effectively reduce arthritis related changes in a similar CIA cynomolgus monkey model (Uchiyama et al, 2008; Biol. Pharm. Bull, 31(6): 1159-1163).

All animals from all groups were observed at least once daily throughout the study duration that lasted 8 weeks following which they were all necropsied. The symptoms of arthritis were evaluated using a visual scoring system and radiography. In addition, C-reactive protein (CRP), an inflammatory parameter, was monitored regularly. Each animal underwent numerous assessments at various timepoints that are summarized in Table 40.

TABLE 40 Measured endpoints in the cynomolgus monkey CIA study Endpoint Timepoints Methods Arthritis Acclimation: Day −4 of Swelling of the metacarpophalangeal, proximal interphalangeal distal interphalangeal sensitization joints and the wrist, ankle, elbow and knee joints was evaluated blindly and scored as Dosing period: Days 7 follows: 0 = No abnormality, 1 = Swelling not visible but can be determined by touch, 14, 21, 28, 35, 42, 49, 2 = Swelling slightly visible and can be determined by touch, 3 = Swelling clearly 56 visible and joint can be completetly flexed, 4 = Swelling clearly visible but joint cannot be completely flexed, 5 = Rigidity of the joints. The arthritis score of each animal is the total of the swelling scores for the individual joints. General condition Acclimation: Day −4 of The general condition of each animal was scored as follows: 0 = No abnormality, 1 = sensitization Difficulty in hanging from the bars of the cage by the fingers, 2 = Inability to hang from Dosing period: Days 7, the bars of the cage by the fingers (using wrists), 3 = Movement only by using 14, 21, 28, 35, 42, 49, forelimbs or hindlimbs, 4 = Crouching, 5 = Abnormal body position. 56 X-ray examination Acclimation: Day −4 of X-ray images were taken, whilst the animal was under ketamine hydrochloride sensitization anesthesia, using an X-ray TV system (DREX-WIN64, Toshiba Medical Systems Dosing period: Days 28, Corporation). The images were then examined to determine the condition of the joints 56 of the hands and feet (metacarpophalangeal, proximal interphalangeal and distal interphalangeal joints of all fingers except the first finger - 48 joints/animal). Each joint with a narrowing of the joint space and/or atrophy was given a score of 1. Similarly when bone erosion or architectural joint destruction was present the joint was given a score of 1. The total score for each parameter was then determined. Body weight Acclimation: Day −1 of All the animals were weighed using an electronic balance (HP-40K, A&D Co., Ltd.) sensitization Dosing period: Days 7, 14, 21, 28, 35, 42, 49, 56 Clinical signs Daily All animals were observed throughout the duration of the study for clinical signs and mortality. Behaviour, Consciousness, position neurological examination, respiration, body temperature, pulse, stool, urine, vomiting/salivation and skin/fur/mucosa were observed as necessary Blood CRP levels Acclimation: Day −6 of The serum CRP levels were determined in a latex turbidimetric immunoassay using an sensitization automatic analyzer (JCA-BM6070, JEOL Ltd.) and expressed as mg/dL. Dosing period: Days 7, 14, 21, 28, 35, 42, 49, 56 Histopathology Following necropsy on After collection the skin of the carpal and tarsal joint and digits were cut with scissors day 57 before being excised and fixed in 10% neutral buffered formalin. Following delipidation in ethanol and decalcification in EDTA decalcification solution, the joints were paraffin-embedded and prepared for sectioning. The slides were subsequently stained with hematoxylin-eosin and safranin-O before being microscopically examined.

The sensitization with bovine type II collagen effectively led to progressive joint stiffness and swelling that reached a maximum on day 56, as measured by the arthritic score in the negative control group animals. In contrast, the IL17MS3086, mAb03 and positive control treated animals displayed a significant (p<0.01) reduction in arthritic scores (FIG. 14) which were paralleled by a mild reduction in serum CRP levels, although these levels were not reduced to the extent of that of the positive control group animals (FIG. 15).

Additionally, radiological examination of the affected joints at the end of the study showed that IL17MS3086-treatment significantly reduced bone erosion and architectural joint destruction (Score B) (p<0.01) and to a lesser extent joint space narrowing (Score A) (FIG. 16) which are hallmarks of arthritis (Van der Heijde et al., 1995; J. Rheumatol. 22(9): 1792-1796). The protective effect of IL17MS3086 on pathological joint changes was further confirmed by histological examination of the joints following necropsy. The joint sections were scored for several parameters which are closely linked to the biology of IL-17A and IL-17F and are indicative of joint inflammation and bone remodeling based on the criteria depicted in Table 41. The results showed that the incidence of severe grades was decreased following IL17MS3086-treatment for all findings similarly to that seen after mAb03-treatment or positive control-treatment and that they were equally effective in that respect (FIG. 17).

As a result of the improvement seen on joint stiffness, swelling and damage the IL17MS3086-treated animals had a concomitantly improved general condition score which was indicative of a lesser discomfort and an improved joint mobility in comparison to the buffer-treated animals (FIG. 18). Finally, the drop in body-weights for the IL17MS3086-treated animals at the end of the study, in comparison to the initial body-weights, were within 5% similarly to the mAb03-treated animals, whereas the body weights dropped by 14%±2.5% (mean±SEM) for the buffer-treated animals.

All these findings are consistent with a decreased disease severity in the IL17MS3086-treated and mAb03-treated animals and demonstrated that IL17MS3086-treatment improved the arthritis in this established CIA monkey model. Interestingly, no dose-dependency was observed for the IL17MS3086-treated animals for the assessed endpoints likely indicating that the 2.8 mg/kg dose already gives maximal efficacy which was similar to that of the 10 mg/kg dose of mAb03.

The blocking activity study in mice of Example 28 shows a dose effect of IL17MS3086 inhibiting IL-17A induced KC serum levels. In FIG. 12A (with doses adjusted to μg/kg), a dose of ˜0.1 mg/kg (2.3 μg/mouse) reduces KC serum levels significantly. A dose of ˜0.4 mg/kg (8.1 μg/mouse) or ˜1.4 mg/kg (28.5 μg/mouse) further reduces the KC serum levels. However, it appears that already 0.4 mg/kg IL17MS3086 is saturating, i.e. a plateau is reached in that 1.4 mg/kg IL17MS308628 only reduces KC serum levels only minimally. In contrast, mAb03 was not saturating in this study.

In the present Cynomolgus CIA study 2.8 mg/kg and 10 mg/kg IL17MS3086 were used, which in analogy are also saturating, while mAb03 would not be.

Accordingly, IL17MS2086 appears also more efficacious in the present study.

TABLE 41 Scoring criteria for histological analysis Findings Grade Criteria Hyperplasia in + Increase in synovial cells synovial cells 2+ Marked increase in synovial cells Granulation tissue ± Granulation tissue in less than 30% of joint cavity morphogenesis* + Granulation tissue in 30% to 80% of joint cavity 2+ Granulation tissue in more than 80% of joint cavity Fibrosis + Sparse fibre and abundant cell content 2+ Abundant and dense fibre, and scarce cell content Degeneration of ± Rough surface of joint cartilage, and disappearance joint cartilage of circular and spindle chondrocytes in cartilage + Acidophilic joint cartilage, degenerative necrosis of chondrocytes, and partial destruction 2+ Wide range destruction of existing joint cartilage Osteoclasia + Partial bone destruction 2+ Bone destruction in the medullary cavity Osteogenesis + Increase in osteoblasts and neogenesis in bone Neutrophil ± Minimal infiltration infiltration + Moderate infiltration 2+ Marked infiltration 

What is claimed is:
 1. A polypeptide comprising a llama-derived, VHH-based domain, which domain binds to IL-17A.
 2. The polypeptide of claim 1, which is linked to one or more constant domains and a light chain.
 3. The polypeptide of claim 2, which in combination with the one or more constant domains and light chain forms an IgG antibody.
 4. The polypeptide of claim 1, which binds to human IL-17A with a dissociation constant (K_(D)) of 10⁻⁵-10⁻¹² moles/liter or less.
 5. The polypeptide of claim 1, wherein the llama-derived, VHH-based domain comprises an amino acid sequence selected from SEQ ID NOs: 623 to 693 or an amino acid sequence having at least 70% amino acid identity with a CDR sequence of at least one of the amino acid sequences of SEQ ID NOs: 623 to
 693. 6. The polypeptide of claim 1, wherein the llama-derived, VHH-based domain comprises an amino acid sequence selected from SEQ ID NO: 623 to 693 or an amino acid sequence having at least 70% amino acid identity with at least one of SEQ ID NOs: 623 to
 693. 7. The polypeptide of claim 6, wherein the llama-derived, VHH-based domain comprises an amino acid sequence having at least 70% amino acid identity with SEQ ID NO: 660, SEQ ID NO: 664, or SEQ ID NO:
 690. 8. The polypeptide of claim 1, wherein the llama-derived, VHH-based domain comprises: a first CDR comprising (i) the amino acid sequence AMG or (ii) an amino acid sequence that has 1 amino acid difference with the amino acid sequence AMG; and a second CDR comprising (i) the amino acid sequence AISGSGDDTYYADSVKG or (ii) an amino acid sequence that has only 1-7 amino acid differences with the amino acid sequence AISGSGDDTYYADSVKG.


9. The polypeptide of claim 8, which comprises an FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4 structure, and wherein FR4 comprises SEQ ID NO:
 619. 10. A pharmaceutical composition comprising a polypeptide comprising a humanized variant of a llama-derived VHH domain linked to a human variable light chain, and which is configured to specifically bind to human IL-17A.
 11. The pharmaceutical composition of claim 10, which further comprises a pharmaceutically acceptable excipient.
 12. A method of treating systemic lupus erythematosis, rheumatoid arthritis, osteoarthritis, juvenile chronic arthritis, spondyloarthropathies, systemic sclerosis, idiopathic inflammatory myopathies, Sjogren's syndrome, systemic vasculitis, sarcoidosis, autoimmune hemolytic anemia, autoimmune thrombocytopenia, thyroiditis, diabetes mellitus, immune-mediated renal disease, demyelinating diseases of the central and peripheral nervous systems, multiple sclerosis, idiopathic demyelinating polyneuropathy, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy, hepatobiliary diseases, infectious, autoimmune chronic active hepatitis, primary biliary cirrhosis, granulomatous hepatitis, sclerosing cholangitis, inflammatory bowel disease, gluten-sensitive enteropathy, Whipple's disease, autoimmune or immune-mediated skin diseases, bullous skin diseases, erythema multiforme, contact dermatitis, psoriasis, allergic diseases, asthma, allergic rhinitis, atopic dermatitis, food hypersensitivity, urticaria, eosinophilic pneumonia, idiopathic pulmonary fibrosis, hypersensitivity pneumonitis, transplantation associated diseases, graft rejection, or graft-versus-host-disease, the method comprising administering to a patient in need thereof an effective amount of the polypeptide according to claim
 1. 13. The method of claim 12, which is a method of treating psoriasis. 